REVOLVING CHARGE ACCOUNTCONTRACT
Name______
LastFirstMiddle
Birth Date ______Social Security# ______-______-______
Address ______
StreetCityStateZip
Telephone (____) ______Driver’s License # ______State ______
Other Contact Information
Please list the names and contact information of your parents/legal guardians, as well as one additional person who will always know your address.(Required even if you are married and/or independent.)
Parents/Guardians
Name______Telephone (____)______
LastFirstMiddle
Address ______
StreetCityStateZip
Name______Telephone (____)______
LastFirstMiddle
Address ______
StreetCityStateZip
Other
Name______Telephone (____)______
LastFirstMiddle
Address ______
StreetCityStateZip
I, the undersigned, understand and agree with all terms and conditions as stated on the reverse side of this contract and that this revolving charge account plan will be subject to Oregon Administrative Rules and regulations of Eastern Oregon University in effect now or in effect when my fees/charges are assessed. I understand that any funds extended to me are an educational benefit and this contract will remain active as long as I receive University Services and/or have an account balance.
By my signature I acknowledge that I have read, understand, and agree to comply with the terms and conditions of the Eastern Oregon University Revolving Charge Account.
Student Signature ______Date ______
TERMS AND CONDITIONS
A Revolving Charge Account Contract is available to all Eastern Oregon University students under the following terms and conditions (This account will only be opened after the student requests that it be opened and has agreed to the terms and conditions):
PAYMENT & DUE DATES
Students must pay one-third of the current term’s charges within the first 14 days of each term, or their account will be considered past due. A $100.00 late payment penalty will be applied to all past due student accounts after the 14th day of each term. Any unpaid balance is part of the Revolving Charge Account Plan. Students must pay all current term balances by the last day of each term.Two thirds of the current term charges are required to be paid before a student may register for subsequent terms, unless special payment arrangements have been made with the Student Accounts office. Payments will be applied to the unpaid balance on the student’s account on a first in, first out basis. Financial aid, scholarships and any other amounts due to the student from this institution will be applied toward the total amount due to this institution before the money is released to the student. The student’s account may be paid in full at any time. Please refer to the academic calendar for a list of due dates each term.
INTEREST
Interest will be charged each month on any unpaid balance at the rate of one percent per month, or fraction thereof (12% APR). This is subject to change as mandated by the Oregon Administrative Rules.
PAST DUE ACCOUNTS
It is the student’s responsibility to make the scheduled payments by the due dates regardless of the circumstances. Failure to receive a billing is not an acceptable excuse for late payment. Interest charges and applicable late fees will be assessed on all past due accounts. The following penalties will apply:
- An institution collection fee of $25.00 may be assessed to any account not paid in full at the beginning of a subsequent term, if payment arrangements have not been made with the Student Accounts Office.
- Registration may be denied to any student with a past due balance.
- The extension of credit, provision of services, grade reports, diplomas, and transcripts may be withheld from any student with a past due balance.
- Eviction from student housing may result when past due amounts relate to dorm charges. Telephone services may be disconnected or denied when past due accounts relate to telecommunication charges.
- Delinquent accounts referred to outside collection agencies will be assessed all costs and charges incurred including, but not limited to, collection costs, attorney’s fees, and court filing fees. The status of this account may be reported to credit bureaus.
ADDRESS INFORMATION
The student is responsible for informing this institution’s Student Accounts Office of any name and/or address change occurring during the life of this contract.
BILLING RIGHITS
A student may challenge a charge within 60 days of the origination of the charge by directing their inquiry to: Eastern Oregon University, Student Accounts, One University Boulevard, La Grande, OR 97850-2899, (541) 962-3590, or e-mail: . Any questions regarding this agreement can also be directed to the above address.
______
Student Signature Date
Mail to:Eastern Oregon UniversityFax: (541) 962-3036Scan & Email:
Eastern Promise
One University Blvd
La Grande, OR 97850REV 5/2011