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Activity Play Group Program

Fee Schedule Form


2009-2010
Child's Name: __________________________________________________________

Date of Birth:__________________________________ Age: __________________

FATHER____________________________MOTHER __________________________

Home Phone _______________________ Home Phone _______________________

Fax _____________________________ Fax _______________________________

Office Phone _____________________ Office Phone _______________________

Fax _____________________________ Fax ______________________________

Mobile Phone _____________________ Mobile Phone ______________________

E-mail Address______________________ E-mail Address_______________________

Mailing Address: _____________________________________________________

_____________________________________________________________

Application Processing Fee: (non-refundable) 2,500 baht


Tuition Fee: (two days per week – two hours per session) 19,200 baht per semester
Deposit: (non-refundable) 8,000 baht

Application Processing Fee: ___________________________________________


Tuition Fee: ___________________________________________
Transportation Fee: ___________________________________________
Subtotal: ___________________________________________
Deposit: (non-refundable) ____________________________________________
Total Remaining: ____________________________________________
Parent's Signature: ____________________________________________
Date: ____________________________________________
RMA:pt/Fee Schedule/March 27, 2009

39/6 Nichada Thani, Samakee Road, Pakkret, Nonthaburi 11120 Tel: (66 2) 960-3663 Fax: (66 2) 960-3664
Mailing Address: P.O. Box 18, Pakkret, Nonthaburi 11120 Thailand
Website: http://www.rose-marie.ac.th E-mail rma@rose-marie.ac.th

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