Undergraduate Research Assistant Program
Enrollment & Installment Form
Name
*
First Name
Last Name
Phone/WhatsApp
*
-
Country Code (+)
Phone Number
Email
*
example@example.com
School Name & Address
*
Street Address, City, State, Country
City, State/Province
State / Province
Zip Code
Billing Address
*
Street Address, City, State, Country
City, State/Province
State / Province
Zip Code
Specialty of Interest (First and Second Preferences)
*
Program Selection
*
Undergraduate Research Assistant Program
Payment Mode
*
US Bank to Bank Zelle (Ask Organization's Bank details)
Debit / Credit Card (Notify and pre-approve this national/international transaction from your credit card company in order to avoid "Decline of Transaction")
Image of "US Bank to Bank Zelle" (Ask us for the bank receipt to upload here)
Debit/Credit Card Users
*
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next
( X )
Installment 1 -
$
2,000.00
Due Date: 30 days prior to the start date
Installment 2 -
$
2,000.00
Due Date: 2 months from Installment 1
Installment 3 -
$
2,000.00
Due Date: 2 months from Installment 2
Late Fees - Per Installment -
$
50.00
Enter coupon
Apply
Subtotal
$
0.00
Tax
$
0.00
Total
$
0.00
Debit/Credit Card
I have discussed the program details with Research Update Team. I agree to pay the FULL fees. (Non-refundable)
*
Yes
Signature
*
Submit
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