CSU Stanislaus | Summer Session

Installment Payment Plan Contract - Summer 2011

Current CSU Stanislaus student Not a current CSU Stanislaus student/Newly admitted for Fall 2011

I wish to use the Installment Payment Plan (IPP) for the Summer fees authorized by Section 89700.1 of the Education Code. I am not eligible for any other campus waivers, subsidies or deferments, such as financial aid deferment.

I understand that this deferment applies only to a portion of the State University Fee and other campus fees and that a $33.00 NON-REFUNDABLE installment payment plan service fee must be RECEIVED in the Cashiers Office or paid online before 5:00 p.m. by the first payment due date.

I understand that my installment payments must be received by the Cashiers Office (Before 5:00 p.m.) as follows:

Students who register May 6, 2011 through May 25, 2011

First Payment Due: May 25, 2011
Second Payment Due: June 24, 2011
Third Payment Due: July 24, 2011

Last Name	First Name	M.I.	Student ID	Semester	E-mail

Street Address	City	State	ZIP		Phone

I'll be taking courses for: Undergraduate/Graduate/Credential Masters of Business Admin Doctorate Your Status: Enter Number of Units* If this form does not work for you, please contact Student Financial Services (MSR 100) at (209) 667-3063. Cost per Unit Summer Fee + IPP Service Fee $33 Installments: 1st 2nd 3rd Once the form is filled out completely, print 2 copies, sign where indicated, keep one copy for your records, and forward the signed original to the appropriate office according to the selection made at the top of the form. Your Status: Enter Number of Units Cost per Unit Cost per Unit for nonresidents + nonresident finance fee of 7% Summer Fee + IPP Service Fee $33 Installments: 1st 2nd 3rd Once the form is filled out completely, print 2 copies, sign where indicated, keep one copy for your records, and forward the signed original to the appropriate office according to the selection made at the top of the form. Your Status: Enter Number of Units (if nonresident) Cost/Unit for nonresidents + nonresident finance fee of 7% Summer Fee Nonresident summer fee + IPP Service Fee $33 Installments: 1st 2nd 3rd Once the form is filled out completely, print 2 copies, sign where indicated, keep one copy for your records, and forward the signed original to the appropriate office according to the selection made at the top of the form.

*Fees are subject to change without prior notice by the State Legislature and Trustees of the California State University. Any increase in tuition and fees, Non-Resident tuition and other campus fees will be due in addition to the currently deferred fees in equal installments as indicated above. Course fees and late fees, if any, must be paid 1/3 equally in addition to each payment.

I understand if my payment is dishonored by the bank I am subject to a $25.00 fee ($35 for second occurrence) and a hold placed on my records. I further understand that if my installment payments are not received by the due date a $25.00 late charge will be assessed and a hold will be placed on my records until payment is received. I understand that I will be unable to register for a future term, receive transcripts or any campus service until all fees and penalties are paid in full. I further agree to pay the total of this contract whether or not academic credit is received. If I withdraw from the University on or after the first day of class, I understand that I am responsible for a prorated amount of registration fees. If I add classes after enrolling in the IPP I will be responsible to pay the additional fees by the fee payment deadline in the schedule of classes. I understand that failure to pay the amount due may result in referral of the debt to an outside collection agency and/or credit reporting agency; offset against amounts due from the State of California; legal action. I agree to pay all cost of collection, including attorney fees and court cost.

I understand that failure to pay the amount due may result in referral of the debt to an outside collection agency and/or credit reporting agency; offset against amounts due from the State of California; legal action. I agree to pay all cost of collection, including attorney fees and court cost.

Payments are to be mailed to or made in person at CSU Stanislaus, Cashiers Office MSR Suite 100, One University Circle, Turlock CA 95382 or Stockton Center 612 E Magnolia St, Stockton, CA 95202 or online at my.csustan.edu (> Student Center > under Finances click on Make A Payment button) with MasterCard, Discover or American Express or with ACH E-Checks from your regular checking account. Payments must be received by 5pm on or before each respective due date.

Additional information available online at www.csustan.edu/TuitionCosts/ Account Review at my.csustan.edu > Student Center

By signing my name below, I agree to and abide by all the provisions of this contract.

Student's Signature

Date

Summer Session 2011

Installment Payment Plan Contract - Summer 2011