Tuition Express

Tuition Express Form - Returning Families 2020-2021

Child's Name *

School Child Attends *

We are excited to offer the safety, convenience and ease of Tuition Express™- an automatic payment processing system that allows on-time tuition and fee payments to be made from your bank account.

ELECTRONIC FUNDS TRANSFER AUTHORIZATION FOR BANK ACCOUNT AUTHORIZATION.

I (we) hereby authorize CLUB K AFTER SCHOOL ZONE to initiate debt entries to my (our) Checking or Savings Account indicated below. to properly affect the cancellation of this agreement, I (we) are required to give 10 days written notice.

Your Name *

Phone # *

Address *

City *

State *

Zip *

Bank or Credit Union Name *

Bank or Credit Union Address *

City *

State *

Zip *

Routing Transit Number (see sample below) *

Account Number (see sample below) *

Account Type *

Checking

Savings

ACKNOWLEDGEMENT

By typing/signing my name below and electronically submitting my registration to Club K After School Zone, I certify the information is true and correct and I agree to the terms and conditions of my child participating in the Club K After School Zone program.

Signature

Clear

Date *

Email *

Important!

A voided check or bank issued direct deposit form must accompany this document in order for your registration to be processed.

Upload your voided check here! *

Maximum file size: 314.57MB

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Tuition Express

Tuition Express

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