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Dual Credit Request for Installment Plan

This form is to be used by Dual Credit Students ONLY

This form should be filled out by a parent/guardian of the dual credit student.

Please visit our dual credit payment guide website for more information about your bill prior to submitting this request.  After submitting this form, please allow up to two business days for the payment plan to show on your billing statement.  This form must be completed each semester taking dual credit classes to be placed on an installment plan.

A $30 non-refundable fee will be assessed when the installment plan is selected; however, the full amount due plus all the applicable fees may be paid in full at any time. Before signing up for the installment plan, view your bill and determine if you would like to pay in-full instead. 

Installments made after 5 p.m. CST on the due date will be assessed a late fee of $40 for each late payment.

All fields marked with asterisk (*) are required.

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The student's CID will start with the number 8. If you do not know this number, please contact your high school counselor.
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If your school is not listed, please call the Dual Credit Office at 325-486-6803.
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Semester*
Please select the term for which you are requesting the installment plan.
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Please include Street, City, State and Zip
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Please include area code
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Please include area code
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By submitting this form I understand that*
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I understand that*
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I understand that*
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I confirm that*
If you plan on paying the bill in-full, DO NOT submit this form. Submitting this form will add a non-refundable installment plan fee to the student's bill.