New Professions Technical Institute
NPTI Tuition Payment Authorization Form

Student financial authorization

Credit & debit card authorization

Complete this form to authorize New Professions Technical Institute to charge your monthly tuition payment according to your approved payment plan.

Important instructions

Please review before completing this form

This authorization is for the monthly tuition payment plan shown below. The authorized cardholder must complete and sign the form.

  1. 1Confirm the payment planEnter the approved monthly tuition amount and charge day.
  2. 2Complete all informationProvide accurate student, billing, and card details.
  3. 3Review the termsRead the authorization and applicable credit-card processing fee.
  4. 4Sign and submitThe cardholder must type their full legal name as the electronic signature.
01

Authorization details

Enter the monthly tuition payment authorized under the student's payment plan.

3.5% processing feeA 3.5% processing fee will be applied to all credit card transactions. This fee reflects the cost of accepting credit card payments and is not greater than our processing cost. Debit card transactions are not subject to this fee.
02

Student & billing information

Enter the student account and cardholder billing information.

Billing information

Student information

03

Card information

Enter the credit or debit card associated with this authorization.

The retained authorization PDF uses a masked card number and does not retain the CVV code.