Paced Payment Plan Credit Card/Checking Account Authorization Form

I hereby authorize Breyer State University to debit my credit card or checking account on the date specified and specified amount every month for tuition payments and graduation fee till amount specified below is paid in full.

I hereby understand that any cancellation of this agreement must be made 5 business days before next payment is due. Official cancellation is understood to be submitting and Breyer State University receiving Notice of Cancellation Form found in the student classroom. Notification of cancellation will be acknowledged as received by email from the Finance Department.

I hereby understand that to make any changes to increase my monthly payments, I must notify the Finance Department at finance@breyerstate.com 5 business days before next payment is due. Notification of increase in payment change will be acknowledged as received by email from the Finance Department.

ˆ Back To Top ˆ