DMC Student Esther Account Charge Authorization

Please use this form to create a charge for students only.

Faculty and staff, please use the IDT form to charge to your department.

Student
S
Do not type 's' here. First digit is likely 0.

Poster Printing

Ink Type 1
text or line drawing
< 50% ink coverage
> 50% ink coverage
Paper Type 1
$
Ink Type 2
text or line drawing
< 50% ink coverage
> 50% ink coverage
Paper Type 2
$
Ink Type 3
text or line drawing
< 50% ink coverage
> 50% ink coverage
Paper Type 3
$

Regular Printing

Print Type 1
Print Size 1
8.5x11
11x17
$
Print Type 2
Print Size 2
8.5x11
11x17
$
Print Type 3
Print Size 3
8.5x11
11x17
$

I hereby authorize Fondren Digital Media Commons to add the charge for purchase described above to my student account. 

  • I understand that these charges are non-standard, non-institutional charges and cannot be automatically paid using Federal Financial Aid funds that I may receive.
  • I understand that if charges are not paid-in-full by the billing due date of my student account, late charges will apply, transcripts and degrees will be held, and future enrollment at Rice may be blocked until all charges are paid.
Do you agree with the charge authorization terms? *