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Box 1808 Hiram, OH 44234 Payment Plan Calculator Tuition: $_____________ Housing + $_____________ Meal + $_____________ Comprehensive fee + $______________ Student Health Insr + $______________ Study abroad, field trip, etc fees + $_____________ Financial Aid - $______________ (do not include work study in Financial Aid amount) amount owed = $______________ Amount owed divided by 4 $______________ First Payment $________ plus $37.50 $______11/11/08 Second Payment $______________ 2/18/08 Third Payment $ ______________ 3//21/08 Fourth Payment $ _____________ 4/18/08 Hiram College offers students and families the opportunity to meet the financial obligation to Hiram College through the use of a 4-month payment plan. There is a non-refundable $37.50 per semester fee for the plan that is due with the first payment on January 11, 2008 Hiram College Student Accounts Office offers assistance with calculating the bill and discussing payment plan options to meet the needs of students and families. Please contact Gloria Kobus at 330.569.5114 Payment due dates for Spring 2008 Semester are listed on the front cover. Payments may be made by Cash, Check, Visa, MasterCard, Discover or American Express. Enrollment Form (please include this form with your first payment) ______________________ Student Name ______________________ ID # $_____________ Amount Remitted By signing below we agree to pay the financial obligation to Hiram College in 4 equal installments for Spring 2008 Semester on or before dates indicated. I/we also acknowledge failure to meet the first payment date will result in a $100.00 late fee. All other missed due dates will result in the loss of services up to and including Registration and Transcript hold. Two missed payments will result in future Payment Plan ineligibility. X_________________________ Student or Parent Signature See back panel Phone: 330.569.5114 Fax 330.569.5499 F U@18>DJPV\bhntz@1p *6Pb   : P fn| "|$           ,9"|D " " "|$           ,9"|D " "0e0e4" "$           ,7 9"D ""0 "J$           ,9"JD "01 "$           ,9"D "01 "$           ,7 9"D """0 "$$           ,9"$D "014" "$           ,9"D " "|04"5% "$           ,9"D " 1014""A "|$           ,9"|D "1 "|$           ,9"|D " 1014" "vB$           ,9"vBD "  "  $           ,7 D "  ":$           ,9":D "  "0@1p 0@P`p |||||||||||||||||| | | | | | | | | | | Payments may be made by Cash, Check, Visa, MasterCard, Discover or American Express. Enrollment Form (please include this form with your first pay?:<v6v"<Pj (PlD0 ( * 2  0  0 0  04""A " <> @Z\PR248"14""1:b|t "PS" $T,- 9"PS>" r "PS" $T,9"PS>" , "" $9">" r "" $T,9">" 0v "t" $T,9"t>" r "PS" $T,9"PS>" t "PS" $T,- 9"PS>" t "PS" $T,- 9"PS>"  "" 9">" v "" $T