EFTA00283632.pdf

O9-13-2012 17:60 M£1 70. Le s/ 1of 3 7-41e EFTA00283632  09-13-2012 17:01 PRGE2 Yeshiva Tifereth Moshe Tuition Contract for 2012-2013 Dr. & Dr. Steven Kaplan Date: 07/10/2012 est are your charges and your tuition schedule for the upcoming school year. Please note the registration fee is due before school starts. In order for he registration to be considered complete, all the following items must be submitted to the office no later than July 18, 2012. _ . • • • •• • Select the payment terms and sign the payment agreemenL Review the information on page 2 and make any necessary corrections. All prior balances must he paid in MI. Tease note other fees are not included such as Breakfast, Lunch, Resource Room, etc. Charges Description Charge Amount cl Notes Registration 1,200.0 Due Now Tuition 18,450 Resource Room 750 Dinner 500 Bui ding Tee 360. Breakfast Pee 250 Obligation 20 10.0 Total Obligation 21,510. Students Registered Grade Entering Benyamin Yitzchak 01 Chananya Simclia 07 yment Terms ethod of Payment 10 Postulated cheeks dated from September 2012 through June 2013 in the amount or S2,03i .00. Please charge my credit card (Please fill out the enclosed Credit Authorization Form). Other a mcnt Agreement agree to pay the above listed fees and charges. I wee to assist the Yeshiva in the following manna: This agreement is contingent upon the Yeshiva receiving post dated checks or credit card authorization. arents Signature Date EFTA00283633