Please fill out form completely and return to the Front Desk at GBBGC

Comments

Transcription

Please fill out form completely and return to the Front Desk at GBBGC
Payment Plan Application
Please fill out form completely and return to the Front Desk at GBBGC.
In order to be considered for payment plan you must have no outstanding balance on your account.
Member Information
First Name: ______________________________ Last Name: ____________________________ Current Grade: ___________
Home Phone: ______________________ Cell Phone: _______________________ Work Phone: _________________________
Home Address: _______________________________________ Town: ______________________ Zip Code:________________
Parent Information
1. Parent/Guardian First Name: _______________________ Last Name:_____________________ Phone: __________________
2. Parent/Guardian First Name: _______________________ Last Name:_____________________ Phone: __________________
Are you a single-parent family?
Yes
How many people live in the household? _________
No
(Please Circle One)
Total Annual Gross Income: _____________
Please select the best plan that works for you:
Weekly Payments of: ____________
Bi-Weekly Payments of: __________
Monthly Payments of: ____________
Start Date: _____________________
End Date: ______________________
Amount of Payments: _____________
Circle the summer program you want to apply for:
2015 Summer On Site Camp
2015 Summer Day Camp
2015 Summer Sports Camp
Total Amount of Weeks: ___________________
Total Amount of Extended Day:_________
Total Amount Due: ___________________________
2015 Summer Teen Trips
I understand that it is my responsibility to make the payments on time. If I should miss a payment or not abide by
the payment plan, it may result in removal from summer programs and future enrollments. If I have issues or
problems with making payments, I will contact the Membership Services staff.
__________________________________________________
Parent Signature
_______________________________________
Date

Similar documents

Cards and Payments Industry in Latvia Market Size, Share, trends and Forecast 2016

Cards and Payments Industry in Latvia Market Size, Share, trends and Forecast   2016 Timetric's 'The Cards and Payments Industry in Latvia: Emerging Trends and Opportunities to 2020' report provides detailed analysis of market trends in the Latvian cards and payments industry. It provides values and volumes for a number of key performance indicators in the industry, including check payments, payment cards, cash transactions, direct debits and credit transfers during the review period (2011-2015).

More information

Mobile Payments: Revenue Models and Market Strategies Detailed Analysis Report

Mobile Payments: Revenue Models and Market Strategies Detailed Analysis Report The “Mobile Payments: Revenue Models and Market Strategies” report offers an in-depth examination of the global mobile payments ecosystem dynamics, revenue models and market strategies, highlighting unique challenges faced by the sector and best practices for effectively positioning mobile payments propositions.

More information

Cards and Payments Industry in Poland Market Size,Share, trends and Forecast 2016

Cards and Payments Industry in Poland Market Size,Share, trends and Forecast  2016 The report brings together Timetric's research, modeling, and analysis expertise to allow banks and card issuers to identify segment dynamics and competitive advantages. The report also covers detailed regulatory policies, recent changes in regulatory structure and profiles of card issuers operating in the country.

More information

Cards and Payments Industry in Malaysia Market Size, Share, trends and Forecast 2016

Cards and Payments Industry in Malaysia Market  Size, Share, trends and Forecast 2016 The report also analyzes various payment card markets operating in the industry and provides detailed information on the number of cards in circulation, and transaction values and volumes during the review period and over the forecast period (2015-2019).

More information

Cards and Payments Industry in Mexico Market Analysis and Forecast 2016

Cards and Payments Industry in Mexico Market Analysis and Forecast 2016 Timetric's 'The Cards and Payments Industry in Mexico: Emerging Trends and Opportunities to 2019' report provides detailed analysis of market trends in Mexico's cards and payments industry. It provides values and volumes for a number of key performance indicators in the industry, including check payments, credit transfers, direct debits, payment cards and cash transactions during the review period (2010-2014).

More information

Cards and Payments Industry in Norway Market ,Growth and Price Analysis and Forecast 2016

Cards and Payments Industry in Norway Market ,Growth and Price Analysis  and  Forecast  2016 The report also analyzes various payment card markets operating in the industry and provides detailed information on the number of cards in circulation, and transaction values and volumes during the review period and over the forecast period (2015-2019). It also offers information on the country's competitive landscape, including market shares of issuers and schemes.

More information

Norway Consumer Payments Market Size, Share, Key Trends, Emerging Opportunities, Strategies, Outlook and Competitive Landscape

Norway Consumer Payments Market Size, Share, Key Trends, Emerging Opportunities, Strategies, Outlook and Competitive Landscape The card reigns supreme in Norway, with only 6% of the population using cash on a daily basis and most possessing a minimum of two payment cards. And although the market is one of the most mature in the world, further growth is expected for both pay-now and pay-later cards. Visit us @ http://www.radiantinsights.com/research/consumer-payments-country-snapshot-norway-2016

More information