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@9-13-2812 17:81 PAGE2 x () [es (— Yeshiva Tifereth Moshe Tuition Contract for 2012-2013 Dr. & Dr. Steven Kaplan Date: 07/10/2012 [Instructions | ‘These are your charges and your tuition schedule for the upcoming school year. Pleasc note the registration fice is due before school starts. In order fo: the registration to be considered complete, all the following items must bc submitted to the office no later than July 18, 2012. Select the payment terms and sign the payment agrecment. Review the information on page 2 and make any necessary corrections. + All prior balances must he paid in full. louse note other fees are not included such as Breakfast, Lunch, Resource Room, ctc. (Charges _ : — : . . scription _. ; Charge Amount Notes egistration _ 1,200.00 Due Now uition esourcc Room Dinner 20,310.00, Total Obligation 21,510.00 aa : i ~ Grade Enterin| . ~ . : ] cnyamin Yitzchak ou a | hanunya Simcha on 07. Payment Terms : ; Method of Payment 10 Pust-dated checks dated from September 2012 through June 2013 in the amount of $2,031.00 | Please charge my credit card (Please fill out the enclosed Credil Authorization Form). Other . - — -- = Payment Agreement ~ ; ; ; | * f agree to pay the ahove listed fecs and charges | * | agrec to assist the Yeshiva in the following manner: _ This agreement is contingent upon the Yeshiva receiving post dated checks or credit card authorization. Parents Signature ~ a ~ . _Date ee | EFTA00283633