
Macon Campus and Mercer Regional Centers
DEFERRED PAYMENT PLAN
Enrollment Application
Terms & Conditions In order to enroll in Mercer University's Deferred Payment Plan, please complete the enrollment form below and return it along with:
After we have received these items, we will send you a payment coupon for the final payment which will be due 30 days after the last official day of class for the semester. The due date and the amount will be printed on your payment coupon. You must sign a new agreement, give proof of eligibility, and pay the $35 enrollment fee each semester that you are enrolled. In order to avoid a late payment fee of $25.00, the enrollment process should be completed by the first official day of class for the semester. The $35.00 enrollment fee is non-refundable. Please note: If your account has been assessed an insurance premium - you cannot include the premium in the Deferred Payment Plan. The $373 premium must be paid by the first day of class in addition to the $210 deposit plus any portion not paid by your employer for the Deferred Payment Plan. Failure to make payment within 15 days of the due date will result in a $25.00 late fee. Registration in the currently enrolled semester is subject to cancellation if the student fails to pay the balance on a previously contracted semester. This signed agreement form constitutes a contract between the student and the university. Failure to comply with the Terms and Conditions could result in collection procedures being initiated. Students whose accounts are sent to collection are not eligible to participate in future payment plans with Mercer University. If the account is sent to collection, the student agrees to pay The Corporation of Mercer University, the outstanding principal balance, interest, and costs of collection as necessary for the recovery of any amount not paid when due. The student also agrees to pay all costs of collection, including attorney's fees and expenses, should it be necessary for Mercer University to place the account with a collection agency or attorney. The student also understands that collection costs will be a minimum of 33 1/3% or up to 67% of the outstanding balance at the time the matter was placed with a collection agency or attorney. If you have any questions about the Deferred Payment Plan, contact the Bursar's Office at (478) 301-1111 or 1-800-342-0841. I, the undersigned participant, hereby apply for enrollment in the Mercer Deferred Payment Plan. By placing my signature below, I acknowledge that I have read and will be required to comply with all of the Terms and Conditions of the Deferred Payment Plan as set forth in this Agreement. I understand and intend for this application to constitute a legally binding agreement between the undersigned and Mercer University. Student's Signature____________________________________ Date_________________________________________________ Term________________________________________________
Student Information Name_______________________________________________ Mercer Student Identification No.__________________________ Home Address________________________________________ City______________________ State____________________ Zip Code___________________ Home Phone_____________ Work Phone________________________ Ext._______________ |
| Worksheet | ||||
| Down Payment | $175.00 | Total tuition charges | $__________ | |
| Amount not covered by employer | __________ | Less: Down payment amount | $__________ | |
| Add: $373 Insurance (if applicable) | __________ | |||
| Add: Enrollment Fee | $ 35.00 | Amount not covered by employer | $__________ | |
| Amount of First Payment | __________ | Balance due at the end of the semester | $__________ | |
For assistance in completing the Worksheet, please refer to our tuition rate page for tuition and housing fees and refer to our auxiliary services page for meal plan fees. If you are enrolled in our Extended Education Centers, please refer to our Mercer Regional Center rate page.
Please forward this signed agreement, proof of your eligibility for company reimbursement, and your check to:
Mercer University
Attn: Office of the Bursar
1400 Coleman Avenue
Macon, GA 31207
Or fax this signed agreement, proof of your eligibility for company reimbursement, and a completed credit card form to:
(478) 301-2663
Go to the Bursar's
Office home page