Online Degrees at Breyer State University
 

Tuition Bank Agreement Form

I hereby authorize Breyer State University to debit my credit card or checking account on the date specified and specified amount for tuition payments toward my online courses.

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 my time frame in week's 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.

I have reviewed and accept the Terms and Conditions
Name:
Address:
City:
State:
Zip:
Phone:
Email:
Monthly Amount:
($100, $200, etc...)
Minimum is $100
Monthly Date
for payment:



 

 

 
 

 

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