ΑΣΦ Payment Plan Sign Up Form
This form is for all active, inactive, alumnus, and dropped pledges/members of CSU Alpha Sigma Phi who intend on setting up a payment plan to pay off current or past debts. After filling out this form, you will be contacted within 1-3 days with meeting time options to choose from. All meetings will be held via Zoom until further notice and will be around 30 minutes long depending on complexity.
First Name *
Last Name *
Preferred Contact Email *
Status *
Current OmegaFi Balance *
Semesters Requesting Payment Plan For (Select all that apply.) *
Required
Current Ability To Pay (The smaller the payments, the longer the payment plan duration.) *
Small Regular Payments (Long Duration)
Large Regular Payments (Short Duration)
Important Information For Consideration
Intended Semester of Graduation (e.g. Spring 2021) Leave blank if already graduated.
Semester Graduated (e.g. Fall 2016) Leave blank if not graduated.
Payment Plan Meeting Day Preference (Select 2+) *
Required
Special Requests
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy