Tuition Payment Contract - L'Académie BETH RIVKAH pour Filles

Tuition Information Prepared for
Number of Students Enrolled
Tuition per Child
Total Tuition Fee
Book Fee ($175 per child):
Security Fee ($100 per child):
Spirit Fee ($250 per family):
KG Trip Fee ($35 per family):
Total Tuition + Fees:
Past Due Amount
Payment Plan
Based on the information above, select one of these payment plans:*

Option AOption BOption COption D
Choose a date for us to process the payment:

Month Day Year
Your Past Year's Balance
Choose an amount to add to your payment to go towards your past due balance(s):

$
Choose an amount to add to your monthly payment to go towards your past due balance(s):

$
Payment Via Corporate Charity or Scholarship Donation
Will you be paying via a Corporate Charity or Scholarship Donation?*

YesNo
Name of Charity*
Business ID #*

Address for Receipt*

Payment*

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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