Thank you for your interest in Berkshire Pulse feel free to download and send in our 2019-2020 Payment Plan Form . Or fill out the form below.
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As a Parent/Guardian of a student enrolling in the Berkshire Pulse Performing Arts Program Payment Plan,
I, (Parent/Guardian Name) (required) , agree to pay the total amount below in incremental payments which are due to Berkshire Pulse on the dates designated below.
I understand that participation of Students Name (required) , in the Berkshire Pulse Performing Arts Program is contingent upon observation of this agreement.
Tuition may be made in 3 monthly installments, with the first payment of 50% due at the time of
registration. A late payment fee of $20 will apply to payments not made within the plan agreement. A
Berkshire Pulse Management signature must sign off for approval of this agreement.
Total Tuition Due:
Payment Plan Fee: $20.00
Late Registration Fee:
Total Amount Due:
1st Payment Amount: $ 50% Due Upon Registration
2nd Payment Amount: $ Due on:
3rd Payment Amount: $ Due on:
I am sending a post-dated check for the amounts and dates shown above. I agree that these may be deposited on or after the day written on the check. If a check is returned, I may be charged a late fee and/or the cost of the fees charged to Berkshire Pulse by the bank.I will call Berkshire Pulse with my credit card Information to be run on the dates listed above for the amounts listed above. If the credit card is declined, I will provide Berkshire Pulse with another form of payment within 2 days and I may be charged a late fee.
Please use your finger or mouse to sign in space below.
420 Park Street
P.O. Box 37
Housatonic MA 01236
MONDAY – FRIDAY 10-3