Tuition Payment Contract - L'Académie BETH RIVKAH pour Filles

Payment Plan
Based on the information above, select one of these payment plans:*

Option AOption BOption C
Will you be paying via a Corporate Charity or Scholarship Donation?*

YesNo
Name of Charity*
Business ID #*

Address for Receipt*

If you have a balance from previous years:
Choose an amount to add to your monthly payment to go towards your past due balance(s):

$
Contact Info
Full Name*
First Name Last Name
E-mail*
Phone Number*
Credit Card Info

Payment*

Credit Card Bring Post Dated Checks to the Office

Postal / Zip Code

Country

Agreement
I accept, that the above listed person hereby authorizes the above-mentioned charges. This contract include Secular fees (Not tax deductible), Religious Education (Federal tax deductible receipt) + specified fees. This contract does not include resource center services, kindergarten late class or any fees not mentioned above. In person or remote learning according to the MEES directives.
*

I Agree
Electronic Signature:
Date:

Month Day Year
If paying by Credit Card, your card will not be charged today!
It will be charged in accordance with the schedule chosen above.
Should be Empty:

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Payment Plan