In consideration my acceptance as a student for the blanks* program as of above date, I hereby enroll and obligate myself to pay the order of blank*blank*, dollars ($ blank*) to be paid as follows: ($ blank*) with the signing this enrollment agreement and the balance of ($ blank*) to be paid as follows: ( blank*)
Registration Fee ($ blank). Entrance Date ( blank)Tuition ($ blank) Other Information ( blank)Textbooks ($ blank) Miscellaneous ($ blank) to be paid as follows: ( blank)
I certify I have received and read a copy of the Enrollment Agreement and understand it is subject to representation only as expressed herein. I agree with these polices during my period of enrollment in blanks*