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Double Room ( Single Occupancy) —
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Credit Card Authorization

1

Deposit of $100.00 due on October 14, 2026
Monthly Payment #1 of $222.38 due on November 11, 2026
Monthly Payment #2 of $222.38 due on December 11, 2026
Monthly Payment #3 of $222.38 due on January 11, 2027
Monthly Payment #4 of $222.38 due on February 11, 2027
Monthly Payment #5 of $222.38 due on March 11, 2027
Monthly Payment #6 of $222.38 due on April 11, 2027
Monthly Payment #7 of $222.38 due on May 11, 2027
Final Payment of $222.34 due on June 11, 2027

$100.00

$1,879.00

2
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