Congregation Agudath Israel Early Childhood Center
Congregation Agudath Israel Early Childhood Center 2016-2017 Tuition and Registration Agreement-Page 1
20 ACADEMY ROAD, CALDWELL, NJ 07006
PHONE: 973-226-3600 X 120
FAX 973-226-4190
E-MAIL: [email protected]
CAI ECC and ______________________________ (Applicant) hereby agree to the enrollment of Applicant’s child/children, upon the following terms and conditions: Applicant Billing Information: Name Address
Phone Number Email address Children’s Names
1. Tuition Payment Plan Selection: Please CIRCLE one of the payment plans below. Plan A: Full tuition balance, less the deposit, payable by June 1, 2016. (E-check or credit card information will be required if payment in full is not received by June 1) Plan B: One half payment, less the deposit, electronically debited or charged on a credit card on June 1, 2016. One half payment, less the deposit, electronically debited or charged on a credit card on September 1, 2016. (E-check or credit card information required – please fill out the authorization on the attached sheet) Plan C: 4 equal installments, electronically debited or charged on a credit card on, June 1, August 1, October 1 and December 1. (E-check or credit card information required – please fill out the authorization on the attached sheet) Plan D: Extended Day Only-Monthly installments payable on the first of each month beginning September 2016– June 2017. (E-check or credit card information required – please fill out the authorization on the attached sheet)
Items to be completed:
2016-17 Tuition and Registration Agreement (all three pages attached) Non-refundable deposit payment Voided Check for E-Checks or Credit Card Information (unless choosing Tuition Payment Plan A)
Congregation Agudath Israel Early Childhood Center 2016-2017 Tuition and Registration Agreement-Page 2
20 ACADEMY ROAD, CALDWELL, NJ 07006
PHONE: 973-226-3600 X 120
FAX 973-226-4190
E-MAIL: [email protected]
2. E-check/Credit Card Authorization: Authorization for E-checks ** I hereby give permission to CAI ECC to use the bank account information provided below for electronic debits that I authorize in the Tuition Payment Plan Selection. I understand that, if any payments are returned unpaid, I will be charged a return item fee of up to $30 as allowed in NJ. I understand I may revoke this authorization, in writing, at any time. ABA Routing Number Account Number Bank Name Name on Account Bank Account Type ** Please attach voided check to this application
Authorization for Credit Cards ***Please note if using a credit card there is an additional 2.5% convenience fee for each credit card transaction. I hereby give permission to CAI ECC to use the credit card information provided below for credit card payments that I authorize in the Tuition Payment Plan Selection. I understand I may revoke this authorization, in writing, at any time. Name on Credit Card Card Number Expiration Date Please initial to verify that you understand a 2.5% convenience fee will be charged each time the credit card is used.
Congregation Agudath Israel Early Childhood Center 2016-2017 Tuition and Registration Agreement-Page 3
20 ACADEMY ROAD, CALDWELL, NJ 07006
PHONE: 973-226-3600 X 120
FAX 973-226-4190
E-MAIL: [email protected]
3. General Terms and Conditions: •
There is a $500 non-refundable deposit ($100 non-refundable registration fee and $400 non-refundable tuition deposit), per child, required upon registration. Early bird registration ends March 15, 2016. If registration is received after March 15, 2016, the required non-refundable deposit will increase to $650 ($250 non-refundable registration fee and $400 non-refundable tuition deposit), per child.
•
Only accounts that are paid in full or on a payment plan schedule are eligible for early bird rates.
•
Registration will not be accepted until all prior CAI financial obligations are paid in full, or are on an existing Payment Plan Schedule.
•
Families enrolling multiple children receive a 10% discount on tuition only, for the younger siblings enrolled.
•
If your child begins school after the first day of the school year, payment for the full month in which he/she begins will be due immediately.
•
A $100 administrative fee will be applied for each change made after August 1 to your child’s initial program selection.
•
All applications are subject to the approval of the Director.
•
Tuition payments may only be applied to the current year and are not transferable.
•
Withdrawal: Deposits, registration fees, and tuition payments are not refundable in the event of withdrawal. However, for those families who select Payment Plan A (full payment before June 1, 2016), refunds will be provided as follows: Withdrawal before August 1: Refund of 50% of tuition Withdrawal before September 1: Refund of 25% of tuition
Registration will not be accepted without this form, fully completed with Tuition Payment Plan Selection, nonrefundable deposit payment, and voided check or credit card information (unless choosing Plan A.) I have enclosed a $500 non-refundable deposit, per child, Tuition Payment Plan selection, E-check/Credit Card authorization and application. I have read and understand this contract and agree to the General Terms and Conditions; and the Tuition Payment Plan Selection. ________________________________ Name
_________________________________ Signature
__________________ Date
20 ACADEMY ROAD, CALDWELL, NJ 07006
PHONE: 973-226-3600 X 120
FAX 973-226-4190
E-MAIL: [email protected]
CAI ECC and ______________________________ (Applicant) hereby agree to the enrollment of Applicant’s child/children, upon the following terms and conditions: Applicant Billing Information: Name Address
Phone Number Email address Children’s Names
1. Tuition Payment Plan Selection: Please CIRCLE one of the payment plans below. Plan A: Full tuition balance, less the deposit, payable by June 1, 2016. (E-check or credit card information will be required if payment in full is not received by June 1) Plan B: One half payment, less the deposit, electronically debited or charged on a credit card on June 1, 2016. One half payment, less the deposit, electronically debited or charged on a credit card on September 1, 2016. (E-check or credit card information required – please fill out the authorization on the attached sheet) Plan C: 4 equal installments, electronically debited or charged on a credit card on, June 1, August 1, October 1 and December 1. (E-check or credit card information required – please fill out the authorization on the attached sheet) Plan D: Extended Day Only-Monthly installments payable on the first of each month beginning September 2016– June 2017. (E-check or credit card information required – please fill out the authorization on the attached sheet)
Items to be completed:
2016-17 Tuition and Registration Agreement (all three pages attached) Non-refundable deposit payment Voided Check for E-Checks or Credit Card Information (unless choosing Tuition Payment Plan A)
Congregation Agudath Israel Early Childhood Center 2016-2017 Tuition and Registration Agreement-Page 2
20 ACADEMY ROAD, CALDWELL, NJ 07006
PHONE: 973-226-3600 X 120
FAX 973-226-4190
E-MAIL: [email protected]
2. E-check/Credit Card Authorization: Authorization for E-checks ** I hereby give permission to CAI ECC to use the bank account information provided below for electronic debits that I authorize in the Tuition Payment Plan Selection. I understand that, if any payments are returned unpaid, I will be charged a return item fee of up to $30 as allowed in NJ. I understand I may revoke this authorization, in writing, at any time. ABA Routing Number Account Number Bank Name Name on Account Bank Account Type ** Please attach voided check to this application
Authorization for Credit Cards ***Please note if using a credit card there is an additional 2.5% convenience fee for each credit card transaction. I hereby give permission to CAI ECC to use the credit card information provided below for credit card payments that I authorize in the Tuition Payment Plan Selection. I understand I may revoke this authorization, in writing, at any time. Name on Credit Card Card Number Expiration Date Please initial to verify that you understand a 2.5% convenience fee will be charged each time the credit card is used.
Congregation Agudath Israel Early Childhood Center 2016-2017 Tuition and Registration Agreement-Page 3
20 ACADEMY ROAD, CALDWELL, NJ 07006
PHONE: 973-226-3600 X 120
FAX 973-226-4190
E-MAIL: [email protected]
3. General Terms and Conditions: •
There is a $500 non-refundable deposit ($100 non-refundable registration fee and $400 non-refundable tuition deposit), per child, required upon registration. Early bird registration ends March 15, 2016. If registration is received after March 15, 2016, the required non-refundable deposit will increase to $650 ($250 non-refundable registration fee and $400 non-refundable tuition deposit), per child.
•
Only accounts that are paid in full or on a payment plan schedule are eligible for early bird rates.
•
Registration will not be accepted until all prior CAI financial obligations are paid in full, or are on an existing Payment Plan Schedule.
•
Families enrolling multiple children receive a 10% discount on tuition only, for the younger siblings enrolled.
•
If your child begins school after the first day of the school year, payment for the full month in which he/she begins will be due immediately.
•
A $100 administrative fee will be applied for each change made after August 1 to your child’s initial program selection.
•
All applications are subject to the approval of the Director.
•
Tuition payments may only be applied to the current year and are not transferable.
•
Withdrawal: Deposits, registration fees, and tuition payments are not refundable in the event of withdrawal. However, for those families who select Payment Plan A (full payment before June 1, 2016), refunds will be provided as follows: Withdrawal before August 1: Refund of 50% of tuition Withdrawal before September 1: Refund of 25% of tuition
Registration will not be accepted without this form, fully completed with Tuition Payment Plan Selection, nonrefundable deposit payment, and voided check or credit card information (unless choosing Plan A.) I have enclosed a $500 non-refundable deposit, per child, Tuition Payment Plan selection, E-check/Credit Card authorization and application. I have read and understand this contract and agree to the General Terms and Conditions; and the Tuition Payment Plan Selection. ________________________________ Name
_________________________________ Signature
__________________ Date
