BSL Payment Options

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BETHEL CHURCH OF SAN JOSE 1201 South Winchester Blvd. San Jose, CA 95128 Phone: (408) 246-6790 Matt and Lynn Clayton Pastors of Bethel School of Leadership Internet: www.Bethel.org Email: [email protected] TUTION PAYMENT OPTIONS _______________________________________ Student Name

Savings

_______________________________________ Routing Transit Number

_______________________________________ Billing Address

_______________________________________ Account Number

_______________________________________ City, State, Zip Code

_______________________________________ Signature

_______________________________________ Email

_______________________________________ Phone

Bethel School of Leadership has three options for the payment of tuition ($2000). Mark the box indicating which payment option you will use to pay your tuition:  Bi-annual Payments  Quarterly Payments  Monthly Payments METHOD OF PAYMENT: Please Check One  Electronic withdrawal from account  Credit card  Email a bill Credit Card Information: (If tuition will be paid by credit card) _______________________________________ Name as it appears on Card

_______________________________________ Credit Card Number

Type of Card: (please circle one) Visa

Account Type :( please circle one): Checking Money Market

MasterCard

Expiration Date on Card: ____________________ CVC (3 digits on back): _______ _______________________________________ Signature

Date: ___________________________________ Electronic Withdrawal: (If tuition will be paid by electronic withdrawal) _______________________________________

Date: ___________________________________ EXPLANATION OF PAYMENT OPTIONS Bi-annual Payment: The tuition will be divided between two payments. 1. 65% ($1,300) of the tuition is paid September 1 2. The remaining 35% ($700) is paid by January 10 Quarterly Payments: The tuition will be divided among 4 payments throughout the school year. 1. 30% ($600) - September 1 2. 20% ($400) - November 1 3. 25% ($500) - February 1 4. 25% ($500) - April 1 Monthly Payments: Tuition will be divided among 9 months paid throughout the school year, the first half of the tuition will be due prior to December 1 st and the remaining 50% will be due prior to May 1 st 1. 12.5% ($250) - Sept 1 6. 10% ($200) - Feb 1 2. 12.5% ($250) - Oct 1 7. 10% ($200) - Mar 1 3. 12.5% ($250) - Nov 1 8. 10% ($200) - Apr1 4. 12.5% ($250) - Dec 1 9. 10% ($200) - May 1 5. 10% ($200) - Jan 1 REFUND POLICY If a student chooses to withdrawal him or herself from Bethel School of Leadership within the first 30 days of the program, he or she will receive a partial refund. This refund will not include any income that has been expended on the student’s behalf. If a student is dismissed, no refund will be given and the remaining balance (if any) will be due upon his or her departure. There are no exceptions.

Account Description

Revised 09/19/2012