INTENT TO PAY

INTENT TO PAY

Knox Technical Center
Instructions:
- Please list below the student(s) for whom your department will cover the costs for training at Knox Technical Center.
- Please see the current cost on our website at https://www.knoxtechnicalcenter.com/programs.html
- Indicate which career program they will be attending along with the start date. (One program per form)
- This form must be submitted 1 week prior to the start date of the class.
Company Name*
Billing Address*

Street Address

Department

CityState / Province

Postal / Zip Code
Telephone Number*
Name of KTC Program*
Start Date*

MonthDayYear
Date
Student's Name*

First NameLast Name
Telephone Number
Email
example@example.com
I have more students to add:*

YESNO

Please indicate payment option:

Payment will cover the full cost of the programA fixed amount will be given to the student towards the program
Program costs can be found using the link: https://www.knoxtechnicalcenter.com/programs.html
If fixed dollar amount, please enter the amount below.
By signing this form I confirm that the above student(s) will be attending the noted career program and their program fees will be paid by our company.
Name

First NameLast Name
Title
Email
example@example.com
Signature*

Clear
Should be Empty:

Additional Students