Blue Chip Payment Plan Application
Blue Chip provides a payment plan option for students who demonstrate the need for financial assistant in paying the Blue Chip yearly fee. The Payment Plan Option is available to students who have financial aid and/or family/personal budgeting conflicts with having the $375 fee charged in total at the beginning of the Fall semester. Each payment plan application will be reviewed by the Blue Chip staff. Payment plans will be negotiated on a yearly basis and will not automatically be renewed.

The payment plan will entail the fee being split into two segments. $187.50 will be charged to the Bursar's account in the fall and $187.50 will be charged in the spring.

First Name *
Your answer
Last Name *
Your answer
Phone *
Your answer
Email *
Your answer
Year *
Explain the financial aid and/or family/personal budgeting conflicts that cause you to need a Payment Plan for the $375 Blue Chip Yearly Fee. *
Your answer
The Payment Plan will work as follows: *
I understand that by agreeing to be on a payment plan with the Arizona Blue Chip Program, my yearly fee of $375 will be split into two payments of $187.50 and if I should decide not to continue the program for the full year, I will still be responsible for paying the remaining balance of the full $375 yearly fee. The first and second $187.50 payments will be charged to my Bursars Account the Friday of the first week of classes each semester (Fall and Spring).
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