Housing Payment Agreement
First Name:
Last Name:
Date of Birth:
Phone:
Email:
Payment Option:
Monthly Payment Plan Down Payment
Total $3,900
- $1,100 Down Payment (Due before arrival)
- $350/month - Automatic payments on the 1st of each month - Begin Date September 1st
*The payment below is for the down payment. You will still need to submit the Housing Recurring Payment Authorization Form.
Payment Information
Your card will be charged $1,100 for the Monthly Payment Plan down payment. You will still need to submit a Housing Recurring Payment Authorization Form.
If using your bank debit card, please notify your bank ahead of time in order to process payment. Most banks have a daily spending limit associated with debit cards.
Name on Card
Card Number
MM
YY
Code
Billing Email
Please click "submit" below to proceed to the signature page.
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Contact Information