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Kid Stock, Inc. Payment Plan Request Form
Let's get started setting up a payment plan. Your responses are private and will not be shared with outside sources. Please provide as much information as you feel is necessary. Once you complete this form, please send an email to
kidstockinc@gmail.com
.
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* Indicates required question
Your Name
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Child's Name
*
Your answer
Program Title
*
Indicate which Kid Stock program you are requesting a payment plan for.
Your answer
Program Location
*
Your answer
Type of Payment Plan Desired
*
If the interval you are requesting is not listed, please select "Other" and specify the timeframe.
Monthly Payments
Quarterly Payments
Other:
Have you applied for Financial Aid?
*
Yes
No
Are you willing to participate in a future survey to assist Kid Stock's fundraising efforts?
Yes
No
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