Student Payment Agreement Form

Student Name *

First

Last

Student Email *

Student Phone *

Student Home Address *

Address Line 1

Address Line 2

City

State

Zip Code

Agreement with Revival Harvest Supernatural School

Terms of Agreement: I commit to paying tuition in the amount of $2100.00 for the School Year. Tuition is to be paid by one of the following options below:

Payment Options *

Full Onsite Tuition Payment of $2100.00 by September 21
Half Onsite Tuition of $1050. 00 by September 21 and January 6
Monthly Onsite Tuition of $233.33 on the 21st of each month for nine (9) months
Monthly Online Tuition of $177 on the 21st of each month for nine (9) months
Monthly Onsite Audit Tuition of $147 on the 21st of each month for nine (9) months
Monthly Online Audit Tuition of $97 on the 21st of each month for nine (9) months

The first monthly payment will be due by September 21

I am attending RHSS with the goal of being ordained/licensed. *

No
Yes

Scholarship *

No
Yes

I have also completed a scholarship application at https://supernatural.school/scholarship/ and understand that I am responsible for payment or meeting scholarship program requirements.

Signature *

By typing your full name in this box and clicking ‘I Agree' below, you agree to the payment terms above according to the Electronic Signatures in Global and National Commerce (ESIGN) Act of 2000.

The present partnership agreement form is signed today under the rule of the present laws and regulations *

Date

Time