New Customer Registration Form

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Thanks for registering with Fusion Math! Please note cancelation policy below, also linked here:

https://www.fusionmath.com/cancel

This form helps us enter you into our accounting software. Afterward, there is another form to submit Payment Info.

Please help us by registering with the same last name you used to originally contact us or let us know if a different name is being used.

After completing the form you will see a link to enter your PAYMENT INFORMATION into a new form that will simply charge your account $0.01 to allow us to save your payment information.

If you miss the payment form link you can head back to our Getting Started page and you will find it there.

You only need to fill each form ONE time even if you have more than one child receiving tutoring. Kindly fill in all fields.

If your credit card is declined in the future for any reason, we will simply send you your invoice with a link to update payment information.

Tutoring Rates:

Minimum 1 hour sessions except for special arrangements.
Appointments are charged as time booked plus any additional time.
General Math, Science, and Language: 138/hr
College STEM, Calculus, Advanced, Honors, AP, IB: 148/hr
Test Prep such as SAT, ACT, ISEE, SSAT: 168/hr

Same Day Appts: Extra $30/hr

Other Tutoring Rates:
Some Advanced High School and College Classes bill higher. Please contact us to inquire.
Some tutors bill higher - Please contact us to inquire.

Two or more students in same session from different families: 25% discount per student.
Two or more students in same session from same family: 32.5% discount per student.

Cancellation and Change Policy:
Changes or Cancellations made for any reason after 5pm two days prior to appointment: quarter-charge.
Changes or Cancellations made for any reason after 5pm the day prior to appointment: half-charge.
Changes or Cancellations made for any reason the day of appointment: full-charge.

Many Thank!
-f(M)

Email *

First Name *

Last Name *

Cell Phone formatted as: ### ### #### *

Home Phone formatted as: ### ### ####

Mailing Address Line 1 *

Mailing Address Line 2 (for Apt. or Suite #)

City *

State formatted as: XX *

Zip Code formatted as ##### or #####-#### *

Student Name

Student School

Current Grade and Year Started

Example: 10th in 2022

Submit

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