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TUITION/FEE INSTALLMENT PLAN (TIP/FIP) CONTRACT
THIS CONTRACT IS NOT VALID WITHOUT FIRST PAYMENT
Name: ____________________________________________ SID#:_________________________________
_
Address: __________________________________City, State Zi
p: __________________________________
Home Phone: ___________________Cell:___________________e-mail:__
___________________________
The Tuition/Fee Installment Plan (TIP/FIP) is designed to give you flexibility in meeting your financial obligation to Pierce College and
JBLM Pierce College. The payment plan allows you to make up to three equal payments. The TIP/FIP is adjusted based on when you
register and could result in less than three payments. There will be a $25.00 non-refundable set up fee. Late payments will be assessed
a $30.00 late fee.
PAYMENT DUE DATES: Check if Special Arrangement ( ) Balance after 1
st
payment_______________
D
ue Date: Amount : Date Paid:
Due Date: Amount : D
ate Paid:
Final Due Da
te: Amount : Date Paid:
By signing and initialing this contra
ct, I understand that:
1. I am responsible for paying the amounts above by the due dates listed. Pierce College agrees not to refer this debt to
collections as long as I make my payment arrangements by the agreed upon due dates.
2. I may officially withdraw from my classes through _______________ (last day for 100% refund) and that any payments I
have made are subject to the Pierce College refund policy.
3. I am giving Pierce College the rights to bill for tuition and fees. I am held responsible for paying them, if I am still
enrolled in classes after _______________ (last day for 100% refund). Failure to make payment as agreed may result in my
account being referred to an outside collection agency and I will be responsible for all costs including collection cost 25% to 35%,
12% interest and reasonable legal fees per Washington State Law. (All collection cost are added on top of your outstanding
tuition balance.)
4. There will be a hold on my records and I will not be allowed to withdraw, obtain transcripts or register for future
quarters until this debt is paid in full.
5. I understand that if I have been awarded Financial Aid, my TIP/FIP will be deducted from my financial aid check.
6. It is my responsibility to maintain the accuracy of my records (change of address may be made in person at the
Registration Office or on-line at www. pierce.ctc.edu/SOS). It is also my responsibility to contact Cashiering to update my
TIP/FIP contract if I add/drop a class.
7. _______I authorize Pierce College and their respective agents and contractors to contact me regarding my tuition, fees,
fines and financial aid at the current or any future numbers that I provide for my cellular phone or other wireless device using
automated telephone dialing equipment or artificial or pre-recorded voice or text message.
S
tudent Signature: _____________________________________Date:_________________________
______
Payment Instructions: _______
1. Make a payment at Cashier’s Office by cash, check, money order, VISA, or MasterCard
2. Mail payment to: Pierce College/JBLM
Attn: Cashier
9401 Farwest Drive SW
Lakewood, WA 98498
Phone: (253) 964-6700
FAX
: (253) 964-6282
or Pierce College
Attn: Cashier
1601 39
th
Ave S E
Puyallup, WA 98374
Phone: (253) 840-8405
FAX: (253) 864-3215
staff initials
TOTAL Inc. $25.00 $
__________________
QUARTER:
Pay online by using our ePayment www.pierce.ctc.edu/dist/tuition
Cashier/Registration (Original Copy) Student Copy (Yellow Copy) Copy given to student ( ) Mail copy to student ( )
click to sign
signature
click to edit
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