NLPM Student Payment Agreement

nlpmarin

7 Mt. Lassen Dr., C126, San Rafael, CA, 94903
TUITION PAYMENT AGREEMENT
Basic Information
Student's Legal Name

First Name Last Name
Student's Email
Training/Event Title
Training Number
NowDate

Month Day Year
Date
Start date

Month Day Year
End date

Month Day Year
Number of Weekends
Calculated Automatically
Tuition and Credits
Full tuition amount
Calculated Automatically
Deposit paid:
If paid in full, input whole amount
Early Registration?

Yes No
Early Registration Discount
Calculated Automatically
Coupon Discount
Work Trade Role

none Registrar/Logistics - 33% Audio-Video - 40%
WT Discount Factor
Calculated Automatically
WT Discount Amount
Calculated Automatically
Balance Due
Calculated Automatically
Payment Plan
Payment Option

Has paid in full To pay balance on first day To make payments per training weekend To make equal monthly payments
Number of Payments
Payment amounts
Calculated Automatically
First weekend payment amount
Calculated Automatically
Subsequent payment amounts each weekend
Calculated Automatically
First payment due

Month Day Year
Subsequent payments due every 30 days via Paypal subscription until balance is paid. Balance is due within 60 days of completion of training.
Signatures
Student Signature
NLP Marin Representative Signature
NLP Representative Name

First Name Last Name
NLP Representative E-mail
Signed on

Month Day Year
Should be Empty:

nlpmarin