Payment Worksheet
PAYMENT WORKSHEET
FALL 2009
FAX 336-316-2942
-----------------------------------------------------Return with Payment-------------------------------------------------
PAYMENT WORKSHEET: Please complete the worksheet and the waiver forms and return with your payment.
Student ID #G_________________ Student Name___________________________________
AMOUNT DUE (SHOWN ON TUITION INVOICE): $_________________
ADDITION(S):
BOOKSTORE PURCHASES + $_________________
_________________________ + $_________________
_________________________ + $_________________
ADDITIONAL DEDUCTION(S)
Financial Aid______________ - $_________________
Part Time Status___________ - $_________________
AMS 1-800-635-0120 _ - $_________________
AMOUNT ENCLOSED = $_________________