Common use of Preferred Payment Method Clause in Contracts

Preferred Payment Method. □ Check Make payable to The Center for Guided Montessori Studies and ensure that all funds are in US dollars. Please note payments should be mailed to the North Carolina address rather than the Florida office. □ Visa □ Master Card □ American Express Please sign this page to indicate understanding and agreement Credit Card Details Complete the information below for credit payments: Name on the Card Credit/Debit Card Number Expiration Date Billing Address Signature of Card Holder Date Referring person: Did anyone refer you to the CGMS program, if so who? Please sign the following statement. By signing you agree to the statement below. The information given in this application and tuition agreement form is correct. I understand that a $100 application fee is due with this document, and that unless I am a resident of the state of Michigan this application fee is entirely non-refundable if I am not accepted. I understand that if I am accepted in the program I am responsible for the full tuition and agree that payments will be made in a timely manner. I agree to the refund policy in this document. I understand that an unpaid balance maybe submitted to a collection agency, and that said unpaid balance may result in termination of enrollment, and/or delay certification upon completion of course requirements. Applicant’s Signature Signature - Head of School from Sponsoring School (if applicable) Date of understanding and agreement of this document Please scan this form to xxxxxxxxxx@xxxx.xxx, fax to 000-000-0000, or mail to: CGMS 0000 Xxxx Xxxxxxx Xxxx. Suite 233

Preferred Payment Method. □ Check Make payable to The Center for Guided Montessori Studies and ensure that all funds are in US dollars. Please note payments should be mailed to the North Carolina address rather than the Florida office. □ Visa □ Master Card □ American Express Please sign this page to indicate understanding and agreement Credit Card Details Complete the information below for credit payments: Name on the Card Credit/Debit Card Account Number Expiration Date Billing Address Signature of Card Holder Date Referring person: Did anyone refer you to the CGMS program, if so who? Please sign this page indicating understanding and agreement: Please sign the following statement. By signing you agree to the statement below. The information given in this application and tuition agreement form is correct. I understand that a $100 application fee is due with this document, and that unless I am a resident of the state of Michigan this application fee is entirely non-refundable if I am not accepted. I understand that if I am accepted in the program I am responsible for the full tuition and agree that payments will be made in a timely manner. I agree to the refund policy in this document. I understand that an unpaid balance maybe submitted to a collection agency, and that said unpaid balance may result in termination of enrollment, and/or delay certification upon completion of course requirements. Applicant’s Signature Signature - Head of School from Sponsoring School (if applicable) Date of understanding and agreement of this document Please scan this form to xxxxxxxxxx@xxxx.xxxxxxxxxxxxx@xxxxxxxxxxxxx.xxx, fax to 000-000-0000, or mail to: CGMS 0000 Xxxx Xxxxxxx Xxxx. Suite 233

Preferred Payment Method. □ Check Make payable to The Center for Guided Montessori Studies and ensure that all funds are in US dollars. Please note payments should be mailed to the North Carolina address rather than the Florida office. □ Visa □ Master Card □ American Express Please sign this page to indicate understanding and agreement Credit Card Details Complete the information below for credit payments: Name on the Card Credit/Debit Card Account Number Expiration Date Billing Address Signature of Card Holder Date Referring person: Did anyone refer you to the CGMS program, if so who? Please sign this page indicating understanding and agreement: Please sign the following statement. By signing you agree to the statement below. The information given in this application and tuition agreement form is correct. I understand that a $100 application fee is due with this document, and that unless I am a resident of the state of Michigan this application fee is entirely non-refundable if I am not accepted. I understand that if I am accepted in the program I am responsible for the full tuition and agree that payments will be made in a timely manner. I agree to the refund policy in this document. I understand that an unpaid balance maybe submitted to a collection agency, and that said unpaid balance may result in termination of enrollment, and/or delay certification upon completion of course requirements. Applicant’s Signature Signature - Head of School from Sponsoring School (if applicable) Date of understanding and agreement of this document Please scan send this completed form to xxxxxxxxxx@xxxx.xxx, fax to 000-000-0000, or mail to: CGMS 0000 Xxxx Xxxxxxx Xxxx. Suite 233

Preferred Payment Method. □ Check Make payable to The Center for Guided Montessori Studies and ensure that all funds are in US dollars. Please note payments should be mailed to the North Carolina address rather than the Florida office. □ Visa □ Master Card □ American Express Please sign this page to indicate understanding and agreement Credit Card Details Complete the information below for credit payments: Name on the Card Credit/Debit Card Account Number Expiration Date Billing Address DO NOT SIGN, SAMPLE ONLY. DOCUMENT WILL BE SENT FOR COMPLETION UPON ACCEPTANCE Signature of Card Holder Date Referring person: Did anyone refer you to the CGMS program, if so who? DO NOT SIGN, SAMPLE ONLY. Please sign this page indicating understanding and agreement: DOCUMENT WILL BE SENT FOR COMPLETION UPON ACCEPTANCE Please sign the following statement. By signing you agree to the statement below. The information given in this application and tuition agreement form is correct. I understand that a $100 application fee is due with this document, and that unless I am a resident of the state of Michigan this application fee is entirely non-refundable if I am not accepted. I understand that if I am accepted in the program I am responsible for the full tuition and agree that payments will be made in a timely manner. I agree to the refund policy in this document. I understand that an unpaid balance maybe submitted to a collection agency, and that said unpaid balance may result in termination of enrollment, and/or delay certification upon completion of course requirements. DO NOT SIGN, SAMPLE ONLY. DOCUMENT WILL BE SENT FOR COMPLETION Applicant’s Signature UPON ACCEPTANCE Signature - Head of School from Sponsoring School (if applicable) DO NOT SIGN, SAMPLE ONLY. DOCUMENT WILL BE SENT FOR COMPLETION UPON ACCEPTANCE Date of understanding and agreement of this document Please scan this form to xxxxxxxxxx@xxxx.xxxxxxxxxxxxx@xxxxxxxxxxxxx.xxx, fax to 000-000-0000, or mail to: CGMS 0000 Xxxx Xxxxxxx Xxxx. Suite 233