Payment Arrangement Form

Eastern Oregon University

This form is for students that are not registered for courses for the current term nor pre-registered for a subsequent term. Current term students need to submit a Revolving Charge Contract only and abide by those terms and conditions.

You will need to commit to a payment arrangement if you are unable to pay your account in full by the last day of the term in which the charges were incurred and your NOT registered for a subsequent term. You will not be allowed to register or receive official transcripts until your account is paid in full.

We encourage you to set your minimum monthly payment to an amount that you will be able to pay each and every month. In setting your payment amount, please be aware that your account will continue to accrue interest at a rate of 1% per month. We suggest payments of 20% of your balance or more if it fits into your budget. You always have the option of making greater payments or paying your balance in full at any time. Your account must be paid in full before you will be allowed to register.

Payments must reach the Student Accounts Office by the last day of every month.

Failure to make CONSISTENT monthly payments will result in your account being referred to an outside collection agency. It is imperative that you contact the Cashier at (541)962-3590 if you are unable to make a payment that will reach our office by the last day of the month so that we can make other arrangements with you.

Please fill in your contact information below:

     
Today's Date:
(mm/dd/yy)  
Student ID:
(last 4-digits of SSN, or assigned ID)  
First Name:
 
Last Name:
 
Address:
 
City:
 
State:
 
Zip:
 
Phone Number:
(include area code)  
email:
(a confirmation will be sent to this email address)  

I agree to make consistent monthly payments in the amount of $ (US dollars) beginning (mm/yy). If I am unable to make a scheduled payment, I will contact the cashier at (541)962-3590 or cashier@eou.edu. I understand that if I skip a payment without calling the cashier, I will be charged a $25 in-house collection fee and my account may be referred to an outside collection agency.

If you agree to the terms of this arrangement and have completed the form above, click the button below.