Strategies For College, Inc. Payment Authorization Form Date Submitted SFC Advisor Name -Please Select Adele Horwitz Andrea Torello Beatrice Shultz Beth Walker Cathy Copeland Titus Corinne Power John Barada Linda Waters Lynne Money Teta Mary Pat St. Jean Steve Silver Todd Fothergill Todd Weaver Student Name Year of High School Graduation Parent/Guardian Name Address City State Zip Parent/Guardian Email Credit Card Parent/Guardian Mobile Check Please select your services by checking the appropriate box below Cost Comprehensive PLUS (Admissions + Financial) $ 6,995.00 Comprehensive Program (Admissions Only) $ 5,495.00 College Aid Eligibility, Funding, Forms & Appeals Package $ 2,495.00 College Major, Personality and Career Assessment $ 795.00 Enter Cost of Other Services (Describe below): Please describe other services below: Enter Total Cost of Services Full payment in advance? -Please Select Yes No Full payment amount If no to above, 20% required in advance Initial payment amount (20% of Total Cost of Services) Balance to be financed Finance Fee (3% of balance to be financed - paid in advance) Number of payments (max = 10) Amount per month Start monthly payments (always on first day of month) End monthly payments (always on first day of month) Payment Information Select Payment Type (Credit Card or Check) -Please select payment type Credit Card Checking Account Account Owner/Name on Account Is account mailing address same as above? -Please Select Yes No Address City State Zip Client Approval Revised December 15, 2020 Submit