Fillable Lawrence University Monthly Payment Plan (Lawrence University)

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Lawrence University Monthly Payment Plan (Lawrence University)

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Student Accounts Office
Lawrence University
711 E Boldt Way
Appleton, WI 54911
(920) 832-6547
student_accounts@lawrence.edu
Lawrence University Monthly Payment Plan
Lawrence University is pleased to offer an interest-free monthly payment plan. This payment option allows you
to spread your annual balance over 10 months (August through May).
IMPORTANT INFORMATION
Payment is due on the 15
th
of each month. Below are the due dates for the 10-month payment plan
Payment # Due Date
1 August 15
2 September 15
3 October 15
4 November 15
5 December 15
6 January 15
7 February 15
8 March 15
9 April 15
10 May 15
Finance charges will be assessed for past-due payments. Please see the Student Payment Agreement and
Disclosure Statement for details (http://lawrence.edu/info/offices/financial_services/student_accounts).
HOW TO APPLY
• Review your “Total Account Balance” on your July billing statement.
If your loan, scholarship, or grant is not on your billing statement: Contact the Financial Aid Office
at financial.aid@lawrence.edu or 920-832-6583.
• Complete the Monthly Payment Plan Enrollment Form. Note: the form must be signed.
• If paying by check, mail the Monthly Payment Plan Enrollment Form along with your check (payable to
“Lawrence University”) to the address above.
• If paying online, the Monthly Payment Plan Enrollment Form can be submitted by email
(student_accounts@lawrence.edu), fax (920-832-6952), or mail.
• Your first payment and the Monthly Payment Plan Enrollment Form must be received by August 15.
Student Accounts Office
Lawrence University
711 E Boldt Way
Appleton, WI 54911
(920) 832-6547
student_accounts@lawrence.edu
Monthly Payment Plan Enrollment Form
DETERMINING YOUR MONTHLY PAYMENT AMOUNT
1. Locate your “Total Account Balance” on the bottom line of your July billing statement.
2. Enter your Total Account Balance here: $____________________
3. Divide your Total Account Balance by 10 and enter it here: $________________.
This is your Monthly Payment Amount.
Do NOT deduct any of the following when determining your Total Account Balance:
Student employment
Outside scholarships
529 or college savings plans
FIRST PAYMENT METHOD
My check or money order for $__________ is enclosed.
My payment was made online on ____/____/____ for $__________.
STUDENT AND PAYER INFORMATION
STUDENT’S NAME LAWRENCE ID
#
PAYER’S NAME
PAYER’S ADDRESS
CITY STATE ZIP
PAYER’S PHONE #
DAY:
ALT:
PAYER’S EMAIL
Lawrence University reserves the right to terminate the student’s privilege of paying on his/her account under the monthly payment plan. Lawrence University’s
Student Payment Agreement and Disclosure Statement governs all accounts, including those on the monthly payment plan. Please see the Statement for details.
PAYER’S SIGNATURE (REQUIRED)
STUDENT’S SIGNATURE (REQUIRED)
For Internal Use Only
Approved By:
Date:
Ref #:
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Completed 23 July 2020

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