Hope Fieldhouse: Minor Individual Agreement

1. Review Base Plan

Monthly Payment

$32.14

Amount Due Today

$47.09


Service

Down Payment

Recurring

Rollover

Visits

Individual Dues $0.00 $30.00 $0.00 0
Prorated Dues $3.96 0
Joining Fee $40.00 $0.00 $0.00 0
Sub-Total $43.96 $30.00
Tax $3.13 $2.14
Total $47.09 $32.14

First Monthly Payment Date: 10/1/2020

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