Payment Plan Request

Installment Payment Plan

We have various payment plan options. A $100 service fee is assessed for these customized plans and is reduced to $50 if an initial 50% ($750) payment is made. Monthly payment plans may be made for up to 12 months and can be paid with a credit card, or from your checking account using a debit card, PayPal, or ACH.

If you need a customized plan to attend, please call email to discuss this with Kari, our Financial Administrator, finances@lifewaysnorthamerica.net, as soon as you have sent in your application. After creating a custom payment plan with Kari, you will receive a payment plan agreement which must be signed and returned within five (5) days of your receipt of it.

Payment plans must be completed, along with a contract before a student is considered fully enrolled in a training.

Payment Plan Fundamentals

First name

Last name

Fundamentals Location & Start Date

Payment Plan Options

OPTION ONE –Payment in Full Prior to Start of Course:

$1,500 via credit/debit card charge now

$500 via credit/debit card charge now AND

remaining $1000 via credit/debit card charge prior to the start of the Retreat.

Date to charge $1,000 (must be prior to course start date):

OPTION TWO - Installment Payment Plan:

A $100 processing fee is assessed for all payment plans

$250 now via PayPal, AND

$550 via credit/debit card charge on (below date), prior to the start of the Retreat, AND

Remaining $800 (includes $100 processing fee) in 12 monthly payments of $66.67 by the 15th of

each month starting (complete below) mo/yr) and ending (complete below) mo/yr).

Date for $550 credit/debit charge to be completed (must be prior to start of Retreat):

Remaining $800 (includes $100 processing fee) in 12 monthly payments of $66.67 by the 15th of each month:

Start date

Ending date

OPTION THREE - Individualized Payment Plan

A $100 processing fee is assessed for all payment plans.

I would like to discuss creating a payment plan other than the options listed above. I will contact

Kari Cottrell at finances@lifewaysnorthamerica.net as soon as I have applied.

Section Two:

Debit/Credit Card Authorization and Information

I agree to the above-checked payment plan and authorize charges as indicated

Date

Name on Card

Billing Address

Phone

Debit, Visa, MC, Amex, Discover Number

Expiration Date

Month

Day

Year

Security Code

Signature

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