SHOOT FOR THE STARS TUITION PAYMENT CONTRACT
(Please check one of the following payment options)
SFTS PREFERRED PAYMENT METHOD – NO FEES TO YOU_____ Automatically debit my checking/savings account for the amount of ______, my
child(ren)’s monthly tuition, on the 7th of each month beginning ______7th, 2016 with the final payment being withdrawn on May 7th, 2017.
My account routing number______
My account number ______
Bank Name______
_____ Automatically charge my credit card for the amount of ______, my
child(ren)’s monthly tuition on the 5th of each month beginning September 5th, 2016 with the final payment being charged May 5th, 2017.
My credit card type/number______exp.______
Full Name on Card ______
My Address______
*As a result of the increasing costs to accept debit/credit cards, there will be a $1 processing fee for
every $25 charged for monthly tuition. (applies to monthly tuition only)
Example: $1-$25 Tuition ($1 fee), $26-$50 ($2 fee), $51-$75 ($3 fee) $76-$100 ($4 fee)
TO AVOID THESE CREDIT/DEBIT CARD FEES, PLEASE PAY BY OUR
PREFERRED AUTODEBIT METHOD. THANK YOU!
_____ I wish to pay monthly by check, cash or money order. I understand that during any
month, if tuition has not been paid by the 15th day of the month, the following credit card will be automatically billed for ____, the amount of my child(ren)’s monthly tuition. (plus processing fee)
My credit card type/number______exp.______
Full Name on Card ______
My Address______
_____ I wish to pay monthly by check, cash or money order. I understand that my child’s tuition in
the amount of ______is due on the 15th of each month before classes are taken the
following month. I understand that if tuition is not paid 15 days in advance of the start of the month, my child could be withdrawn from classes.
*I understand that in order to stop automatic billing to my account for monthly tuition, in ALL INSTANCES, I need to provide written notice no later than the 15th of the prior month so that my child’s space can be filled the following month.
______
Child(ren)’s Name(s) (please print)
______
Signed Date