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Agent_Invoice_for_Commission_Oct11

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					Queen’s School of English
INVOICE for Agent Commission
To be completed by agent and emailed or faxed to Queen’s School of English.



INVOICE TO: Queen's University School of English                                                   Date:


FROM:

ENROLLMENT & COMMISSION DETAILS:

        Student              Family Name                    Personal Name(s)                 Program and             Tuition         Commission
        Number                                                                                 Session               (CDN)
                                                                                            (i.e. EAP Fall 2010)                 (Tuition x   %)




                                                                                                               SUB-TOTAL:
    Regular Airmail: no charge                                                                                                  $0.00

    Deduction for Bank Wire Transfer Fee (if chosen method): $40.00 CDN

    Deduction for Courier Fee (if chosen method): Courier fee will be deducted from total commission
    payment.
                                                                     GRAND TOTAL for Commission Payment:

PAYMENT INSTRUCTIONS:

Queen’s School of English will send the agent the total commission owing (as listed above) by the following method:
                                             Cheque                Bank Wire Transfer*
                                                                                                                   CDN         USD
All fees listed are in Canadian dollars. Please indicate if you prefer payment in Canadian or U.S. dollars.

Agency Address:

Agency Name:                                                        Street Address


City:                             Province/State            Country:                           Postal Code:
*Agency bank wire transfer information:

BANK NAME & ADDRESS:

ACCOUNT INFORMATION:


Comments:




            School of English  Queen’s University  96 Albert Street  Kingston, Ontario  Canada K7L 3N6
                                   Phone: +1 (613) 533-2472  Fax: +1 (613) 533-6809
                                                  www.queensu.ca/qsoe

				
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