Hope Fieldhouse: Minor Individual Agreement

1. Review Base Plan

Monthly Payment

$32.14

Amount Due Today

$70.42


Service

Down Payment

Recurring

Rollover

Visits

Individual Dues $0.00 $30.00 $0.00 0
Prorated Dues $25.74 0
Joining Fee $40.00 $0.00 $0.00 0
Sub-Total $65.74 $30.00
Tax $4.68 $2.14
Total $70.42 $32.14

First Monthly Payment Date: 9/1/2021

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