IELI Payment Plan Request Form

First Name *

Last Name (Family Name) *

Student ID number *

Email *

How many IELI classes are you enrolled in? *

I will pay 50% by the 1st day of class. *

I will pay 50% of tuition by Friday before the 1st day of class.

I will pay 25% by Friday of Week 3. *

I will pay 25% by Friday of Week 3.

I will pay 25% by Friday of Week 5. *

I will pay 25% by Friday of Week 5.

I understand that I must check my.unt.edu to verify that I have the payment plan. *

I understand that I must check my.unt.edu to verify that I have the payment plan.

There is a $20 service fee for using the payment plan. *

There is a $20 service fee for using the payment plan.

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