PSYCHO-PHYSICAL THERAPY INSTITUTE
PAYMENT AGREEMENT
This legal and binding contract is entered into on _____________________________(write full date) between
the Psycho-Physical Therapy Institute (herein refereed to as PPTI) and
(full legal name)__________________________________________________ (herein referred to as Student).
The Student and PPTI agree to the following terms:
In consideration for Training Program: Professional Somatic Resourcing Training 2008-09, the Student will pay PPTI the tuition fee in the following manner:
TUITION $3900.00
Payment Plan Administration Fee + $100.00
Deposit - $400.00 (payable immediately and at least 2 weeks prior to the commencement of the training)
----------------------------------------------------------------------------------------
Balance to be financed = $3600.00
Payments will be financed with 9 monthly payments of $400.00 per month, with payments due on June 1, July 1, August 1, September 1, Oct 1, Nov 1, Dec 1, 2008 & Jan 1, Feb 1, 2009.
Payment Plan: To be eligible for the payment plan you must mail your $400.00 deposit upon acceptance. The deposit absolutely must be received by Friday April 17, 2008. Along with your deposit and this payment plan agreement, you must also send 9 checks made out for $400.00 and postdated for May 1, June 1, July 1, August 1, September 1, etc. These checks will be held by the organizer and deposited on the appropriate dates.
Returned checks will be assessed a $25.00 Service Fee per incident, payable immediately upon notification of return of transaction.
Accepted by:___________________________________________________________ Date _____________
Signature of Student
Accepted by:______Justine K. Polevoy,MFT______________________ Date _______________
Signature of PPTI Representative
Return to home page