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#2 John Brewers Bay • St. Thomas • U.S. Virgin Islands 00802 • Tel: 340-693-1259 • Fax: 340-693-1175 • www.uvi.edu Historically American. Uniquely Caribbean. Globally Interactive. Business and Fiscal Affairs PAYMENT ARRANGEMENT ON ACCOUNTS TO ACCEPT CHARGES DATE: 2024 I, __________________, STUDENT # 900___________________, HAVE AGREED TO THE PAYMET ARRANGEMENT BELOW TO AVOID THE PURGE PROCESS. AMOUNT FINANCED: $ PAYMENT 1: $ ____ ________+ $45 ADMIN FEE: TOTAL: $ DUE DATE: AUGUST , 2024 PAYMENT 2: $ PAYMENT 3:$ PAYMENT 4: ______________ DUE DATE: SEPTEMBER 1, 2024 ______________ DUE DATE: OCTOBER 1, 2024___ __________________DUE DATE: NOVEMBER 1, 2024_____ IN THE EVENT THE ABOVE PAYMENT DATES ARE NOT WORKING DAYS THE FOLLOWING BUSINESS DAY IS WHEN PAYMENT IS DUE. SEMESTER REGISTERED FOR: FALL 2024 WITH THE ARRANGEMENT IN PLACE I HAVE AGREED TO THE FOLLOWING: 1. THE FALL 2024 SEMESTER HAS TO BE PAID IN FULL ON OR BEFORE NOVEMBER 1, 2024 . 2. A HOLD WILL BE PLACED AND REMAIN ON THE ACCOUNT IF CONSECUTIVE MONTHLY PAYMENTS ARE NOT MET. A HOLD RESTRICTS THE FOLLOWING: • FUTURE CLASS REGISTRATIONS • ISSUANCE OF TRANSCRIPTS • ISSUANCE OF ENROLLMENT VERIFICATION LETTERS • REVIEW OF ACADEMIC RECORDS 3. IF PAYMENT TERMS ARE NOT MET, I UNDERSTAND THAT UVI MAY SUBMIT THE DEFAULT ON MY PAYMENTS TO A COLLECTION AGENCY THAT MAY AFFECT MY CREDIT RATING. MY SIGNATURE BELOW CONFIRMS MY UNDERSTANDING AND AGREEMENT TO THE ABOVE TERMS. _________________________________ ____________________________ SIGNATURE CONTACT # _________________________________ ____________________________ EMAIL ADDRESS APPROVED BY SIGN SIGN