Hope Fieldhouse: Minor Individual Agreement

1. Review Base Plan

Change Plan

Monthly Payment

$42.85

Amount Due Today

$89.51

Service	Down Payment	Recurring	Rollover	Visits
Member 1
Individual Dues	$0.00	$40.00	$0.00	0
Prorated Dues	$43.56			0
Joining Fee	$40.00	$0.00	$0.00	0
Sub-Total	$83.56	$40.00
Tax	$5.95	$2.85
Total	$89.51	$42.85

First Monthly Payment Date: 1/1/2024

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

Other Fee Information

Annual Fee (Total) of $35.00 will be billed on a Annual basis starting 5/1/2024

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