Sierra Summit Children's Academy



 

Hop aboard the Tuition Express

and never write a check again!

 

 

As your children academy, we are excited to offer you the convenience of automatic tuition payments through Tuition Express. You’ll no longer need to write a check or remember your checkbook when you’re picking up your child at the end of a hectic day. Your payment will be safely and securely processed by Tuition Express, giving you peace of mind that your tuition has been paid on time! It’s easy to enroll and even easier to participate. You’ll be joining tens of thousands of parents nationwide who enjoy the ease and convenience of Tuition Express.

 

To learn more about Tuition Express, automatic payment notifications or reviewing your payment history, please visit www.tuitionexpress.com

For Bank Account Authorization, complete and return to center management.

ELECTRONIC FUNDS TRANSFER AUTHORIZATION

I (we) authorize ______________________________________ , (called “CENTER” in this Authorization) to initiate debit entries to my (our) Checking or Savings Account indicated below at the depository financial institution indicated below (called “DEPOSITORY” in this Authorization). I (we) authorize CENTER to withdraw sufficient funds to pay my (our) regular childcare tuition and/or other childcare related fees that are due and payable. I (we) authorize CENTER to use the third party sender, Tuition Express* to process all payments. I (we) acknowledge that the origination of Automated Clearing House (ACH) transactions to my (our) account must comply with the provisions of United States Law.

 

Credit Union Members: Please contact your Credit Union to verify account and routing numbers for automatic payments.

 

         __________________________________ ______________________ __________________________________________________

Your Name                                                           Phone #                                     DEPOSITORY - Bank or Credit Union Name

 

_______________________________________________________ ___________________________________________________

Address                                                                                                           Bank or Credit Union Address

 

_______________________________________________________ ___________________________________________________

City                            State                    Zip                                                   City                                   State                          Zip

 

Type: Checking                    Savings

 

_____________________________________________________________________________________________________________________________________

Routing Transit Number (see sample below)                                                               Account Number (see sample below)

 

This authorization will remain in full force and effect until I (we) notify the CENTER in writing of its termination in such time and in such manner as to afford Tuition Express and DEPOSITORY a reasonable opportunity to act upon it. Notices must be received at a minimum of 5 business days in advance of the termination date.

 ________________________________________________       ___________________

                          Signature                                                                 Date

 

Record Retention Notice: The child care provider shall retain all parent (client) authorization forms in a secure location for a period of two years from the date of client withdrawal from the Tuition Express™ program. *Tuition Express is an assumed business name of Blum Investment Group, Inc.

(Please attach a copy of a voided check here.

Deposit slips not accepted.)