*PricesareinU.S.Dollars
AllRefundsmustberequestedbythefirstdayofthesessionand
itmaytakeuptothreeweeksforprocessingtherefund.No
refundswillbeprocessedafterthesessionstarts.Medical
Insurancemaynotberefundable.
IEC@OCC2020TuitionPaymentForm
Selectsessionstopay
Session 1, 2020 (January 6 – February 26)
Session 2, 2020 (March 2 – April 28)
Session 3, 2020 (May 4 – June 24)
Session 4, 2020 (June 29 – August 13)
Session 5, 2020 (August 31 – October 21)
Session 6, 2020 (October 26 – December 16)
Feestobepaidbasedonnumberofsessionsselected
Numberof
Sessions
Activity
fee
Tuition TOTAL Your
Savings!
1session $80 $3200 $3280.00*
2sessions $160 $6040 $6200.00* (save$360)
3sessions $240 $8900 $9140.00* (save$700)
4sessions $320 $11420 $11740.00* (save$1380)
NotetoBursar’sofficestaff:pleasechargeadditional$75latefee
ifthepaymentisreceivedafterthedeadlinelistedatthebottomof
theform,unlesswaivedbytheGlobalEngagementCenterstaff.
Applicant/StudentInformation
FirstName: LastName:
DateofBirth OCCIDNumber:
SelectPaymentMethod
Debit/Creditcard(completebelowsection) Check MoneyOrder
ForCardPayments–CompleteThisSection
CardHolder'sName: PhoneNumber:
BillingAddress:
IherebyauthorizetheGlobalEngagementCenteratOrangeCoastCollegetochargethetotalpaymentamountindicated
onthisformonmycreditcardlistedbelow.
AuthorizedSignature Date:
CreditCardNumber(VisaorMasterCardOnly)
ExpirationDate: Month Year CVV2
Code
DEADLINETOPAYTUITION&
INSURANCEISTHEFIRSTTHURSDAY
OFTHESESSION.
Alllatepaymentsreceivedafterthisdatewill
incurlatefeeof$75.
click to sign
signature
click to edit