Direct Payment Form

If your bank information is not yet on file, e.g. if you are submitting this form for the first time, please select YES.
Amount, Date & Purpose
If you are opting for the two-installment (Sept 7 and Jan 15) or the four-installment option (Sept 7, Nov 15, Jan 15 and Mar 15), please submit one form for each payment date. Below you can select a date range around the due dates based on your personal preferences. Please select a date range of about 5 business days.
Please enter the amount and a date range. Please leave a date range of about 5 business days. Accounting will process the debit within the date range, not earlier not later, but usually close to the earliest date indicated. If the date entered falls onto a weekend or a bank holiday, the direct debit will be processed the latest on the next following business day.
Please enter the first name(s) of the student(s) that this payment is for and which category or categories this payment is for (e.g. tuition, annual books & materials contribution, summer camp, French Griffons Soccer etc.).
Credit Amount & Purpose
Please enter the amount you are requesting and the reason for the reimbursement below.
Please enter the first name(s) of the student(s) that this payment is for and which category or categories this payment is for (e.g. tuition, annual books & materials contribution, summer camp, French Griffons Soccer etc.).
Please read the Direct Debit Terms & Conditions before checking the authorization checkboxes below. All are required.
Please write your first and last name to certify your direct debit authorization. By signing you certify that you are an authorized signor on the bank account indicated above.
Please enter any message or question for accounting you may have in the box above.


© 2013-2024 My French Classes Saturday Program, Bethesda, Md.
My French Classes ® is a registered trademark.