Case File
efta-efta00283632DOJ Data Set 9OtherO9-13-2012 17:60
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00283632
Pages
2
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
O9-13-2012 17:60
M£1
70. Le s/
1of 3
7-41e
EFTA00283632
09-13-2012 17:01
PRGE2
Dr. & Dr. Steven Kaplan
Yeshiva Tifereth Moshe
Tuition Contract for 2012-2013
Date: 07/10/2012
est are your charges and your tuition schedule for the upcoming school year. Please note the registration fee is due before school starts. In order for
he registration to be considered complete, all the following items must be submitted to the office no later than July 18, 2012.
_
.
• •
• • • •
Select the payment terms and sign the payment agreemenL
Review the information on page 2 and make any necessary corrections.
All prior balances must he paid in MI.
Tease note other fees are not included such as Breakfast, Lunch, Resource Room, etc.
Charges
Description
Registration
Charge Amount cl Notes
1,200.0 Due Now
Tuition
Resource Room
Dinner
Bui ding Tee
Breakfast Pee
Obligation
18,450
750
500
360.
250
20 10.0
Total Obligation
21,510.
Students Registered
Grade Entering
Benyamin Yitzchak
01
Chananya Simclia
07
yment Terms
ethod of Payment
10 Postulated cheeks dated from September 2012 through June 2013 in the amount or S2,03i .00.
Please charge my credit card (Please fill out the enclosed Credit Authorization Form).
Other
a mcnt Agreement
agree to pay the above listed fees and charges.
I wee to assist the Yeshiva in the following manna:
This agreement is contingent upon the Yeshiva receiving post dated checks or credit card authorization.
arents Signature
Date
EFTA00283633
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