I First Name* Last Name* hereby promise to pay Life Changes, Inc. the balance due for my service fees in the amount of * . I acknowledge and agree this amount is due and payable to Life Changes, Inc. for services provided to me. My first payment in the amount of * will be made on Date* .My second payment in the amount of * will be made on Date* and will continue every * weeks until paid in full.I understand that should I not honor this agreement, my past due bill may be sent to collections and any criminal justice professionals involved in my case will be notified. I further agree that I will be financially responsible for any additional fees associated with the collection of my debt.