Undergraduate Payment Agreement Form

You will not be enrolled in any courses until we receive this form. Our office must receive a Payment Agreement Form each semester.

Course Information:

Semester: Fall Spring Summer

Course(s):

CWID:

Your bursar's account will be charged

Tuition:

Please select one of the following:

1 credit hour/In-state ($260)
1 credit hour/Out-of-state ($600)

3 credit hours/In-state ($780)
3 credit hours/Out-of-state ($1800)

*Tuition is subject to change without notice

Agreement

I understand University Outreach does not offer tuition/fee waivers, and some scholarships and financial aid may not apply to these 600 section courses. I also understand the course tuition will be billed to my bursar and I will be responsible for payment. (please check the box after reading and then submit the form)

Submission of this form is legally binding under the Uniform Electronic Transactions Act.

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