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TWU-ESLI Credit Card ProcessingPDF

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					Affiliated with
                                   TWU/ESLI CANADA



                      TWU/ESLI Credit Card Processing
                            Please complete this form and fax to (604) 513-2132

Credit Card Payment:

        PAYMENT OF TWU/ESLI FEES:
          I authorize Trinity Western University/ESLI to charge my credit card as follows:
          (Please print clearly)

         Name on Credit card: _______________________________________________________
         ( ) MasterCard           ( ) Visa             ( ) American Express
         Amount - Tuition/Fees: C$_____________________
          Amount - Homestay:       C$ _____________________

         Credit Card Number: __________________________________                 Expiry Date: _____________

         If daily limit is exceeded please charge my card in daily increments until the full amount has been
         paid.

         ________________________________ ____________________
         Credit Card Holder’s Signature   Date
         ____________________________                _____________________
         Student Name                                TWU Student ID# (if known)

                                   TWU/ ESLI Payment Policy
                                             Effective Date: March 2004
         All Tuition and fees are payable on or before the day of registration.
         Returning Students: A $100 late registration fee will be charged for students registering after the
         published registration deadline. If full payment is not received by 2:00 PM on the day after
         registration, a $50 late payment fee will also be charged.
         All Students: Results of Placement Test will not be given until $1000 deposit has been paid. If
         full payment is not received before 5% of the program is complete, the student will not be permitted
         to attend classes until the balance is paid. A $50 late payment fee will be charged. Absences will
         be considered “Unexcused.”
         The ESLI Student Accounts Committee will determine all actions taken in the collection of
         outstanding accounts.

				
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