TUITION PAYMENT AGREEMENTS

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Please fill it out per household

Email *

Record my email address with my response

Name of 1st student
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Name of 2nd student

Name of 3rd student

Name of 4th student

Preferred term of payment
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One time payment

Two Semester Payments

Ten Monthly Payments

Preferred form of payment
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Cash

Check ( Payable to : Tucson Japanese Language School )

Debt/Credit Cards ( surcharge of 3% will apply)

Tuition Chart : See the chart below, sum up amount you pay per term. If paying with a card, 3% will be added at when you pay.
*

Please read: *

※ If you are paying cash, please bring the exact amount.

※If you choose to pay per semester or monthly, you don't need to submit this form after the first payment.

I understand that tuition is not refundable and I agree to pay any fees due to bounced checks or credit card transactions.

Signature ( Please type student's full name or responsible parent/guardian's full name if students are minors)
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Signed Date
*

YYYY

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