Tuition Payment Delay Request Form
1. Fill out the form and click ‘submit’.
2. This is not a final confirmation. You must receive an email confirming approval from the Bursar office.
3. To request a payment delay you must submit this form at least one business day prior to the due date. Failure to receive approval will result in a late fee being added to your balance.
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Date *
MM
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DD
/
YYYY
First and Last Name *
Student ID No. *
Mahanim Email *
Payment Amount *
Original Payment Due Date *
MM
/
DD
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YYYY
Expected Payment Date *
MM
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DD
/
YYYY
Reason for Payment Delay  *Please specify in detail a valid reason for delaying your tuition payment. The exchange rate is not a valid reason and will not be approved.                                                           *
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