St. John Brebeuf School 2007 2008 - Tuition Payment Schedule Form - PDF

Document Sample
St. John Brebeuf School 2007 2008 - Tuition Payment Schedule Form - PDF Powered By Docstoc
					   St. John Brebeuf School 2007 / 2008 - Tuition Payment Schedule Form


The following schedule and options are for tuition payment only. From time to
time other fees and payments may be applicable i.e. Agenda, Textbook Caution
Fee, Lunch etc. which must be paid when invoiced and not available as part of
the equal payment plan choices (Option # 2 or # 3) below.


Option 1
      Payment in Full – July 1st

Option 2
      3 Payments – July (35%) / October (35%) / February (30%)

Option 3
      10 Equal Payments – July through April


Method of Payment can include: Cash, Post Dated cheques, Automatic Bank
withdrawals, or automatic credit card. For your convenience please indicate the
time of month you prefer the payment to be made.

Name(s) of children tuition is for:

Full Name: ______________________________________              Grade: _________
Full Name: ______________________________________              Grade: _________
Full Name: ______________________________________              Grade: _________


Method of Payment


  Cash Enclosed          Cheque Enclosed        Post Dated Cheques enclosed
                          (Please make all cheques out to “St. John Brebeuf”)
  Bank withdrawal (PAP)        MasterCard            Visa

If by Visa or MasterCard Credit Card Please confirm:


Card Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expire Date _ _ _ / _ _ _

Name on card    __________________________________


Signature of cardholder____________________________________________
(Please insure both sides of this sheet are filled out and returned no later than
May 15th to the office of the School Business Manager)                          1
   St. John Brebeuf School 2007 / 2008 - Tuition Payment Schedule Form



If by withdrawal from bank cheque account please enclose voided cheque. For all
other accounts (Savings, Line of Credit etc.) please fill out account information
below.


Name of Financial Institution _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Financial Institution Branch Transit Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Your Account Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

My preference is to have my/our tuition payment made on a day that falls within
(Please check one):

1st – 5th of the month____ 15th – 18th of the month ____ 27th – 31st of the month _____

*A $20.00 Fee will be applied to NSF Cheques or declined electronic payments


*Note: A charitable donation receipt for the tuition fees of St. John Brebeuf
School is provided annually and calculated according to Revenue Canada
information circular #75-23. Receipts are issued annually in accordance with
those guidelines.

I / we have read and understood the above tuition schedule information and
agree to honor the choices I /we have made.


Signature: _________________________________Date: _________________


Name: _________________________________________________________

Address: ________________________________________________________

City: ________________________                   Postal Code: __________________

Phone: (H) ________________ (W) ________________ (C) ________________

Email Address: ____________________________________________________

Note: This document must be filled out in full even if we have some of the
information previously on file in the school or church.



(Please insure both sides of this sheet are filled out and returned no later than
May 15th to the office of the School Business Manager)                          2