Student Name:

Cohort:

AMOUNT FINANCED:

FACTS Enrollment Fee:

$60.00

TOTAL:	$0
Payment #	Payment Amount	Remaining Balance
1	$0	$0
2	$0	$0
3	$0	$0
4	$0	$0
5	$0	$0
6	$0	$0
7	$0	$0
8	$0	$0
9	$0	$0
10	$0	$0
11	$0	$0
12	$0	$0

First Payment: (due at registration for Semester 1)		$0

All payments are processed from student's checking, savings, or credit card account (MC, VISA only).

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