Hope Fieldhouse: Minor Individual Agreement

1. Review Base Plan

Monthly Payment

$32.14

Amount Due Today

$66.18


Service

Down Payment

Recurring

Rollover

Visits

Individual Dues $0.00 $30.00 $0.00 0
Prorated Dues $21.78 0
Joining Fee $40.00 $0.00 $0.00 0
Sub-Total $61.78 $30.00
Tax $4.40 $2.14
Total $66.18 $32.14

First Monthly Payment Date: 1/1/2022

Payments will then be processed on a Monthly basis there after.