California State University, Fresno Non-Resident Tuition Fee Payment Plan Contract – Spring Semester 2016 The CSU makes every effort to keep student costs to a minimum. Fees listed in published schedules or student accounts may need to be increased when public funding is inadequate. Therefore, CSU must reserve the right, even after fees are initially charged or initial fee payments are made, to increase or modify any listed fees. All listed fees, other than mandatory systemwide fees, are subject to change without notice, until the date when instruction for a particular semester or quarter has begun. All CSU listed fees should be regarded as estimates that are subject to change upon approval by the Board of Trustees, the Chancellor, or the Presidents, as appropriate. Changes in mandatory systemwide fees will be made in accordance with the requirements of the Working Families Student Fee Transparency and Accountability Act (Sections 66028 - 66028.6 of the Education Code). Fresno State Identification Number Last Name (Print) First Name (Print) ( Middle Name (Print) ) Address (number and street) Area Code/Telephone No. City State No. of Units Total Non-Resident Tuition Fee 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 372.00 744.00 1,116.00 1,488.00 1,860.00 2,232.00 2,604.00 2,976.00 3,348.00 3,720.00 4,092.00 4,464.00 4,836.00 5,208.00 5,580.00 5,952.00 6,324.00 6,696.00 First Installment 1/19/16 Non-Resident Service Tuition Fee Charge Total 124.00 248.00 372.00 496.00 620.00 744.00 868.00 992.00 1,116.00 1,240.00 1,364.00 1,488.00 1,612.00 1,736.00 1,860.00 1,984.00 2,108.00 2,232.00 18.60 37.20 55.80 74.40 93.00 111.60 130.20 148.80 167.40 186.00 204.60 223.20 241.80 260.40 279.00 297.60 316.20 334.80 Zip Second Installment Non-Resident Service Tuition Fee Charge 142.60 285.20 427.80 570.40 713.00 855.60 998.20 1,140.80 1,283.45 1,426.00 1,568.60 1,711.20 1,853.80 1,996.40 2,139.00 2,281.60 2,424.20 2,566.80 124.00 248.00 372.00 496.00 620.00 744.00 868.00 992.00 1,116.00 1,240.00 1,364.00 1,488.00 1,612.00 1,736.00 1,860.00 1,984.00 2,108.00 2,232.00 2/19/16 18.60 37.20 55.80 74.40 93.00 111.60 130.20 148.80 167.40 186.00 204.60 223.20 241.80 260.40 279.00 297.60 316.20 334.80 Total 142.60 285.20 427.80 570.40 713.00 855.60 998.20 1,140.80 1,283.45 1,426.00 1,568.60 1,711.20 1,853.80 1,996.40 2,139.00 2,281.60 2,424.20 2,566.80 Number of Units Third Installment 3/21/16 Non-Resident Service Tuition Fee Charge Total 124.00 248.00 372.00 496.00 620.00 744.00 868.00 992.00 1,116.00 1,240.00 1,364.00 1,488.00 1,612.00 1,736.00 1,860.00 1,984.00 2,108.00 2,232.00 18.60 37.20 55.80 74.40 93.00 111.60 130.20 148.80 167.40 186.00 204.60 223.20 241.80 260.40 279.00 297.60 316.20 334.80 142.60 285.20 427.80 570.40 713.00 855.60 998.20 1,140.80 1,283.45 1,426.00 1,568.60 1,711.20 1,853.80 1,996.40 2,139.00 2,281.60 2,424.20 2,566.80 I understand this contract is subject to the following provisions: _____ 1. I will include my tuition and other fees with this contract no later than 5:00 p.m. 12/4/15. _____ 2. I will pay all non-resident tuition fees and a 15% non-refundable service charge by the scheduled due dates reflected herein. _____ 3. Payments are my responsibility. I will not be billed by the University for units applicable to this note. _____ 4. Units added after 12/4/15 will not be eligible for inclusion on this contract. _____ 5. It is my responsibility to notify the Accounting Office of any changes in units, residency, address, etc. which would affect tuition and other fees owed to the University. _____ 6. Non-Resident Tuition Fee Payments made prior to due dates may result in the waiver of service charges towards: a. Second & Third installments if balance is paid by 1/19/16. b. Third installment if balance is paid by 2/19/16. _____ 7. Failure to comply with agreements to this note will result in: a. The disenrollment from all classes. b. Forfeiture of all tuition and other fees and service charge payments made to date c. Forfeiture of registering on the installment basis for subsequent semesters. For Accounting Office Use Only Signature of Student Tuition and Other Fees: 12/4/15 Total Receipt Date Cashier 10/7/15 sx __________ __________ __________ __________ First Installment: 1/19/16 Total Receipt Date Cashier __________ __________ __________ __________ Second Installment: 2/19/16 Total Receipt Date Cashier __________ __________ __________ __________ Date Third Installment: 3/21/16 Total Receipt Date Cashier __________ __________ __________ __________