THE HILLS CHRISTIAN COMMUNITY SCHOOL INC.
FEE PAYMENT AGREEMENT 2010
To enable you to plan for the payment of School Fees, and to enable the School to budget for ongoing expenditure, please indicate your
preference in regard the payment of fees, and return to the Business Manager.
By signing this payment schedule, I / We hereby acknowledge that all applicants named will be jointly and severally liable for payment of the
School fees for 2010.
FAMILY NAME: CHILD/CHILDREN’S NAMES
ADDRESS: YEAR LEVELS
Receipts will only be issued for Building Fund contributions. Receipts for Fees will be issued upon request.
Please refer to the attached ready reckoner for instalment payment calculations.
Tax Deductible Building Fund
To enable the School to meet its monthly loan repayments and to provide the facilities required for children’s learning:
I/We wish to contribute towards the voluntary Building Fund:
by making one instalment of $300 in the month of: _______________________separate to regular instalments
by including the $300 with our Instalment plan following the completion of our school fees
by an amount of $350 $400 $450 $500 please include with our instalments
by an amount of $_________________ in the month of: ___________ please include with our instalments
(A receipt for taxation purposes will be provided)
The following methods are available to parents for the payment of fees and charges. Please indicate your preference.
I/We wish to pay annually within 30 days of the invoice
I/We wish to pay by instalments. Quarterly/each Term Monthly Fortnightly
I/We wish to pay by
Direct Debit BPAY Centrepay(via Centrelink) Credit Card on 22nd of each month
The School’s preferred method of payment is Direct Debit. Using this method parents do not attract bank charges.
I/We wish to pay by Direct Debit
I/We request and authorise The Hills Christian Community School Inc. (User ID Number 251910) to arrange for funds to be debited from
my/our nominated account at the financial institution shown below.
Total value of $____________ per instalment, until my account is paid in full or until I give the School further instructions regarding payment of
our account in writing.
If your drawing is returned or dishonoured by your financial institution, a reversal will be done and an administration fee of $25.00
will be charged to your account.
Account Name: ___________________________ Name and Branch of Financial Institution: _____________________
BSB NO. _ _ _ _ _ _ ACCOUNT NUMBER _ _ _ _ _ _ _ _ _ _ _ _ _
Commencing Monthly (22 Jan 2010) Fortnightly (14 Jan 2010) Fortnightly (21 Jan 2010)
I/We wish to pay by Credit card – your payment will automatically be deducted on the dates shown
Frequency: Monthly (22nd each month or 1st working day following) Quarterly (25 Feb, 27 May, 26 Aug & 25 Nov 2010)
Please complete the following authority: CREDIT CARD AUTHORITY
We/I authorise for you to debit our credit card. for total value of $__________ per instalment, until my account is paid in full or until I give the
School further instructions regarding payment of our account in writing.
Type of Card: VISA / MASTERCARD (please cross out)
Card No: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ __ _ Expiry date: _ _ / _ _
Cardholder’s name: _______________________ Cardholder’s signature: ______________________
American Express & Diners card facility not available.
Mother/Guardian Name: _________________________________ Father/Guardian Name: ___________________________________
Signature: ____________________________________ Signature: ___________________________________
G:\Admin\WORD\FINANCE\Fee Payment Agreement 2010.doc