Hope Fieldhouse: Minor Individual Agreement

1. Review Base Plan

Monthly Payment

$32.14

Amount Due Today

$58.76


Service

Down Payment

Recurring

Rollover

Visits

Individual Dues $0.00 $30.00 $0.00 0
Prorated Dues $14.85 0
Joining Fee $40.00 $0.00 $0.00 0
Sub-Total $54.85 $30.00
Tax $3.91 $2.14
Total $58.76 $32.14

First Monthly Payment Date: 6/1/2021

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