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UNITED STATES

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  • 15 other fields

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© Nutritional Therapy Association, Inc.
®
1
PAYMENT PLAN
ENROLLMENT:
UNITED STATES
N utritional Therapy
Training Programs
Sept. 2018 — June 2019
PAYMENT PLAN ENROLLMENT
© Nutritional Therapy Association, Inc.
®
1
Pay for Class with Our Tuition
Payment Plan
Make tuition more affordable by spreading out payments for tuition and fees over time. Our tuition
payment plan breaks down your tuition balance into affordable monthly payments. There's no interest,
low enrollment surcharges and it's easy to enroll! Simply submit this enrollment form along with the
course registration packet.
You will initially be charged the $400 nonrefundable finance charge to secure
your spot in class, then the full cost of tuition will be split into installments and automatically charged on
the dates outlined below.
PAYMENT METHODS
• Credit Card or Debit Card
Payments are processed on the 4
th
of each month from June to September, and will continue until the
balance is paid in full.
COST TO PARTICIPATE
A non-refundable $400 enrollment fee is due at registration. This fee covers program administration
costs and is in addition to tuition. (Total amount for tuition will be $5800.00 when participating in the
payment plan).
Registrations submitted in May, 2018. Four monthly payments due June 4th, July 4th, August 4
th
, and
September 4
th
:
Class Tuition 4 Monthly Installments
NTP
NTC
$5400
$5400
$1350
$1350
Registrations submitted in June, 2018. Three monthly payments due July 4
th
, August 4
th
, and September
4
th
:
Class Tuition 3 Monthly Installments
NTP
NTC
$5400
$5400
$1800
$1800
Registrations submitted in July, 2018. Two monthly payments due August 4
th
, and September 4
th
:
Class Tuition 2 Monthly Installments
NTP
NTC
$5400
$5400
$2700
$2700
PAYMENT PLAN ENROLLMENT
© Nutritional Therapy Association, Inc.
®
2
ADDITIONAL INFORMATION
In accordance with NTA registration policy, the $150 cancellation fee applies to cancelled registrations
after the final installment has been paid. Cancellation of this agreement must be submitted in writing.
The $400 enrollment fee is not eligible for refund.
NTA will provide emailed notification of missed or declined payments. It is the responsibility of the
student to provide updated payment information within 10 business days, failure to do so will result in
cancellation from the program.
If you have not completed tuition payments in full by September 17th, you will not be enrolled in the
class.
Please return your completed enrollment form with your registration application to the NTA via email
(preferred), fax, or mail by August 31, 2018, 5:00 pm Pacific Time (UTC-8) to take advantage of the
payment plan. We recommend registering as early as possible since class sizes are limited and enrollment
for each venue is on a first come first served basis. If a class fills, we will add you to a wait list and inform
you if a seat opens.
E-Mail Fax Mail
nta@nutritionaltherapy.com +1-360-528-2564 PO Box 354, Olympia, WA, 98507, USA
PAYMENT PLAN ENROLLMENT
© Nutritional Therapy Association, Inc.
®
3
Student Information
PAYMENT PLAN SELECTION
Please select a payment plan option for your tuition based on the month you are enrolling:
4 Installments (May)
3 Installments (June)
2 Installments (July)
PAYMENT INFORMATION
Credit or Debit Card
Card
Number
Name on Card
Expiration (
MM/YYYY)
CVV (
3-digit code on back)
Signature
of Card Holder
Billing
Address
City
State
Zip / Postal Code
Country
By signing below, I acknowledge that I have read, fully understand, and agree to the terms outlined in the enrollment
packet in its entirety.
Student Printed Name
Student Signature
Date
First / Given Name
Last / Family Name
Date of
Payment Plan Enrollment
Class Type
NTC NTP
Workshop Venue City/State
*s*S
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UNITED STATES

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Completed 5 April 2021

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