Payment Plan Agreement

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Please fill out the form below to set up a payment plan to handle the balance of your Make Promises Happen camp account.

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E-poštni naslov *

Name of person completing this form: *

Camper name: *

First payment date (must be no later than the event the camper is attending): *

LLLL

Monthly payment amount: *

$200

$150

$100

$50

Divide my balance evenly over 6 months

Divide my balance evenly between first payment and 12/1/2023

Drugo:

I understand and agree to the following: *

I agree to pay my balance according the terms listed above (pending admin approval).

If I have a financial hardship and payment will be late or I am no longer able to fulfill this agreement, I will communicate COCCC office staff ASAP.

I understand that failure to complete this payment plan with no communication with staff causes financial strain to the Make Promises Happen program and affects COCCC's ability to offer scholarships to other campers.

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