Fillable 2006 Veterans Deferred Payment WILKES UNIVERSITY

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2006 Veterans Deferred Payment WILKES UNIVERSITY

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WILKES UNIVERSITY
REQUEST FOR DEFERRED PAYMENT
Based on Veterans Benefits
I, _____________________________ WIN # ___________________________
(Please Type or Print)
Request deferred payment of my: FALL SPRING SUMMER
(Check One ONLY)
YEAR ___________________________
Charges for ________ credit hours in the total amount of $_________________.
I certify that I am eligible for the Veterans benefits from the Veterans
Administration. I guarantee that I will make full payment to Wilkes University no
later than the tenth (10) day of the month following the end of the semester.
***NOTE: A new request for deferral must be submitted to the Controller’s
Office prior to the beginning of each semester***.
I certify that I have read the above and agree to the terms and conditions.
__________________________________
Students Signature
__________________________________
Date
__________________________________
Veterans Affairs Office Approval
Rev. 1.0.120106
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2006 Veterans Deferred Payment WILKES UNIVERSITY

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Completed 15 November 2019

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