Noah's Ark Preschool

  

Authorization Form for Monthly Automatic Tuition Payments
We are thrilled that you have chosen Noah’ Ark Preschool for your child. We are looking forward to getting to know you. At the time of registration the $55 registration fee and your May 2011 tuition payment is due. You will have 8 additional tuition payments. They are due on the first of each month, September through April. 

The Vanco program provides an easy way for the preschool to collect tuition and allows us to benefit from consistent cash flow. Tuition payments are made to Noah’s Ark through a pre-authorized withdrawal from your bank account and deposited into our bank account on the same day it is withdrawn from your account. Your first payment is deducted about September 1, 2010 and your last payment on April 1, 2011.

Instructions:

1. Complete the personal information section below, including name, address and telephone numbers.

2. Indicate the account type, routing number and account number. 

3. Sign on the Account Holder Name line.

Please complete this section for school tuition payments:


Child's Name

,  ,
Last Name:                     First Name:                   Middle Initial:

  
Mailing Address                                           ZipCode

Home Telephone     xxx-xxx-xxxx
Work Telephone     xxx-xxx-xxxx
Cell Telephone         xxx-xxx-xxxx

Check the appropriate box:
Payments should be taken from:      checking         savings

                                                            once/month    twice/month

Use the following graphic as a guide Name of bank; i.e. USBank  

Location of bank; i.e. Circle Pines  

Routing number (9 digits) 
Re-enter Routing number  
# must start with 0, 1, 2 or 3

Bank Account Number        
Re-enter Account Number 

I authorize Noah’ Ark Preschool (through Thrivent Financial and Vanco Services) to automatically withdraw my child’s tuition payments from my account from September 1, through April 1, 

Account Holder’s Name:                Datexx/yy/zzzz

complete authorization for automatic tuition payments

Or,

Solution Graphics

Use your credit card or PayPal to pay your tuition and/or Registration Fee

Or,

docsrightn_.jpg 0.9K Pay with your checks

 

 

   


Noah’s Ark Preschool ~ 9185 Lexington Avenue North ~ Circle Pines, MN 55014 ~ 763-784-5928