EmailMe Form - ** Family Membership Agreement**

FAMILY NAME to be CONSIDERED *

ENTER Family Name and Email for official OFFER.

Parents Email (If student below age 24) *

Go to the bottom of the page to "click and resume"

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* THIS GENERATES YOUR "OFFICIAL OFFER NUMBER" FOR YOUR FAMILY FUNDING MEMBERSHIP*
~~~~~~~~~~~~~~~~~~~~~~~~ Print a copy when you CLICK HERE ~~~~~~~~~~~~~~~~~~~~~~~~~

Initial to confirm understanding of our promise of value *

RIGHT CLICK TO OPEN AUDIO IN NEW WINDOW ---------> Audio Explanation

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent Cell Phone *

### - ### - ####

Click selected LINK HERE or complete the form below.

$1500 Charter Fee

$200 monthly subscription for 12 months

Month 2, 3 or 4 you may pay "Charter fee" for additional discount

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Card Number

Confirm

Expires Month/Year

MM / YYYY

5 digit billing zip code

Security Code

Bank or Credit Union Name

Bank or Credit Union Routing Number

City and State

Bank or Credit Union Account Number

Check Number (optional)

ACCEPT OR DECLINE OUR FUNDING OFFER *

Your information remains available on this form for 10 days for you to make your decision. When you accept, you will hear from our funding center in 24 business hours. Should you decline, the schools will be alerted you have withdrawn your student so they may move on to selecting another candidate.

OFFICIAL BOARD APPROVAL DATE

MM / DD / YYYY