Birthday*

Program:*

Payment Plan:*

I understand that A $25 setup fee will be added. *

I understand that if any payments fail, there will be a 10 day grace period where the system will automatically try to charge the card on file. If the payment is unresolved after 10 days, a $25 late fee will be applied.*

I understand that after the initial payment I will automatically be charged the remaining payments every 14 or 30 days after the initial payment. *

I understand that the first payment is due at the end of the first week of class at the latest.*