Payment Options Forms and Tuition Refund Plan Enrolment Form
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1 Payment Options Forms and Tuition Refund Plan Enrolment Form International Students St. Michaels University School Financial Services Office 3400 Richmond Road, Victoria, British Columbia, Canada V8P 4P5 Phone: (250) Fax: (250) Website:
2 Table of Contents Registration Checklist... 2 Payment Options Form... 3 Payment Options Form (Younger Siblings Only)... 4 Pre-Authorized Payment Agreement Form... 5 Credit Card Payment Agreement Form... 6 The Tuition Refund Plan Enrolment Form... 7 International Students: Payment Options and TRP Enrolment Forms
3 Registration Checklist To be completed by February 9, 2018: Financial assistance application: If you are applying for financial assistance, you must have completed your application online through Apple Financial Services ( by February 9, To be returned by February 16, 2018: Registration form: Print the registration form for your child from the parent portal. Mark any changes on the form and fax it to the Finance office ( ), attention Kim Jensen; or scan and the document to or mail to: St. Michaels University School 3400 Richmond Road Victoria, BC V8P 4P5 ATTENTION: Kim Jensen Returning student deposit: The returning student deposit is $1500 per day student or $2500 per boarding student and can be paid by cash, cheque, bank draft, bank transfer, Visa, Mastercard, American Express and online bill payment or preauthorized payment (for families with Canadian bank accounts). To be returned by April 6, 2018: Tuition fees: Print the Payment Options form (on page 3), complete it and send the form along with any cheques or, if you chose one of those options, the Pre-Authorized Payment form (on page 5) or the Credit Card Payment form (on page 6) to the address above, ATTENTION: Kim Jensen. Tuition Refund Plan Enrolment form and payment: If you are enrolling in the TRP, print the Tuition Refund Enrolment form (on page 7), complete it and send it with your payment; or fax it to the Finance office ( ), attention Kim Jensen; or scan and the document to Boarders Security Deposit (new boarding students only): The security deposit is $3000 for new boarding students only and can be submitted by post-dated cheque (dated July 31, 2018), cash, bank draft, bank transfer, Visa, Mastercard, American Express and online bill payment or pre-authorized payment (for families with Canadian bank accounts). International Students: Payment Options and TRP Enrolment Forms
4 Payment Options Form Student Name: Student No: International Day Students Grades K-12 (other than ELL students)... $38,590 International Boarding Students Grades 8-12 (other than ELL students)... $66,100 English Language Learners (ELL) Students Grades $77,490 All fees are payable in full by April 6, If you have chosen to use the sibling reduction, please see the next page for payments for younger child(ren). Please deduct the returning student deposit from your first payment. Payment Method Cheque Online Bank Payment Bank Draft Cash Bank Transfer (see the reference guide for transfer details) Visa/Mastercard/ American Express (complete and return the form on page 6) Pre-Authorized Payment (complete and return the form on page 5) Payment Enclosed: Yes No (if No, please provide details of when payment will be submitted): Parent/Guardian Signature: International Students: Payment Options and TRP Enrolment Forms
5 Payment Options Form (Younger Siblings Only) Student Name: Student Account No: International Day Students Grades K-12 (other than ELL students)... $36,661 International Boarding Students Grades 8-12 (other than ELL students)... $62,795 English Language Learners (ELL) Students Grades $73,616 All fees are payable in full by April 6, Please deduct the returning student deposit from your first payment. International Students: Payment Options and TRP Enrolment Forms
6 Pre-Authorized Payment Agreement Form (Canadian Bank Accounts Only) I/we authorize St. Michaels University School (SMUS) and the financial institution designated to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our SMUS Student account(s). Regular monthly payments will be debited to my/our specified account on the last day of each month for tuition fees and the 25th day of each month for the student account balance. SMUS will provide 10 days written notice via the student account statement of the student account balance due and will provide the tuition fee schedule which provides the monthly tuition fee payment for the ten months July to April. This agreement is to remain in effect until SMUS has received written notification from me/us of its change or termination. This notification must be received by the school s Financial Services office at least ten (10) business days before the next debit is scheduled. I/we have certain recourse rights if any debit does not comply with this agreement (for example, the right to receive reimbursement). To obtain more information on my recourse rights, I may contact my financial institution or visit Student Account Information Parent/Guardian Name: Student Name: Student Account No: Student Name (Sibling): Student Acct No. (Sibling): Mailing Address: (street, city, postal code, country) Telephone No.: By signing below I authorize the following: Returning student deposit Tuition Refund Plan payment Tuition fee payment as per the completed Payment Options form Student incidental charges to a maximum of $ to be deducted on the 25th of the month Bank Account Information Financial Institution Name: Bank address: Bank Account No.: Branch Transit No.: (Please attach a void cheque for our records) Authorized Signature: Date: Secondary Signature (if applicable): Date: International Students: Payment Options and TRP Enrolment Forms
7 Credit Card Payment Agreement Form I/we authorize St. Michaels University School (SMUS) to begin deductions as per my/our instructions for monthly regular recurring payments and/or one-time payments from time to time, for payment of all charges arising under my/our SMUS student account(s). Regular monthly payments will be debited to my/our specified account on the last day of each month for tuition fees and the 25th day of each month for the student account balance. SMUS will provide 10 days written notice via the student account statement of the student account balance due and will provide the tuition fee schedule which provides the monthly tuition fee payment for the ten months July to April. This agreement is to remain in effect until SMUS has received written notification from me/us of its change or termination. This notification must be received by the school s Financial Services office at least ten (10) business days before the next debit is scheduled. By providing credit card information below we also agree to pay the associated administrative fee charged by Plastiq or SMUS (2.75%). Student Account Information Parent/Guardian Name: Student Name: Student Account No: Student Name (Sibling): Student Acct No. (Sibling): Mailing Address: (street, city, postal code, country) Telephone No.: By signing below I authorize the following: Returning student deposit Tuition Refund Plan payment Tuition fee payment as per the completed Payment Options form Student incidental charges to a maximum of $ to be deducted on the 25th of the month Credit Card Information Visa Mastercard American Express Card No.: 3-Digit Security Code: Expiry Date: Name on Card: Address card is registered under: Authorized Signature: Date: Secondary Signature (if applicable): Date: International Students: Payment Options and TRP Enrolment Forms
8 The Tuition Refund Plan Enrolment Form School Year To enrol your child(ren) in the Tuition Refund Plan please print and complete this form and submit to the Financial Services Office, along with your payment dated July 31, 2018, payable to St. Michaels University School. Submissions for enrolment in the Tuition Refund Plan will not be accepted after September 4, Day Students:... $ ($ plus $17.85 GST) North American & BC Boarding Students:... $ ($ plus $35.70 GST) ELL & International Boarding Students:... $1, ($1, plus $52.40 GST) Student Name: Student Account No: Day NA & BC Boarding ELL & International Boarding Amount: $ Student Name: Student Account No: Day NA & BC Boarding ELL & International Boarding Amount: $ Student Name: Student Account No: Day NA & BC Boarding ELL & International Boarding Amount: $ Total Payable: $ I understand and agree to the terms of the Tuition Refund Plan and wish to enrol my child(ren) in the Tuition Refund Plan for the school year. Authorized Signature: Date: Please Print Name: International Students: Payment Options and TRP Enrolment Forms
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