Branson Online: Withdrawal Request

Remember to inform your primary/homeroom teacher before submitting this form.
Choose one of the three options below if Branson provided the computer. Please call Lori Green at (888) 863-7850 to make arrangements for UPS to pick up the computer

Today's Date

Date of withdrawal from BSO:

Name of Student:

Name of Parent:

Address (City, State, and Zip):

Phone Number:

Email Address:

Teacher:

Grade Level:

Name and Address of School Transferring to:

Reason for withdrawal:

UPS picks up the computer (PREFERRED METHOD). Student/parent packs the tower/monitor/printer in the original boxes. Branson will send UPS to pick up the computer system. UPS will attempt to pick up the items 3 times.

Student/parent ship tower/monitor/printer back to Branson. They may turn in their receipt for reimbursement.

Computer Purchase. Student/parent may purchase the computer by contacting the BSO office. Please contact Marlene Brown at 1-888-863-7850. NOTE: Full payment must be received before student records will be released.