Trfs Payment Authorization Form - Ielts
Download a blank fillable Trfs Payment Authorization Form - Ielts in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Trfs Payment Authorization Form - Ielts with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1PAYMENT AUTHORIZATION FORM
ADDITIONAL TEST REPORT FORMS (TRFs)
(Less Than 30 Days from Test Date up to 5 test report forms)
Section 1: Postage
Canada (Nation-wide)
$3.00
per TRF x #
_____
0
of TRFs being mailed
$ 0.00
United States of America
$5.00
0
per TRF x # _____ of TRFs being mailed
$ 0.00
Total:
$ 0.00
Section 2: Postage (More Than 30 Days from Test Date - TRF Fee plus Postage Fee)
Canada (Nation-wide)
$23.00
($20.00 TRF + $3.00 postage)
$ 0.00
per copy x #_____ of TRFs being mailed
0
United States of America
$25.00
($20.00 TRF + $5.00 postage)
$ 0.00
per copy x #_____ of TRFs being mailed
0
Total:
$ 0.00
*There is a mandatory courier charge of $75.00 to mail TRFs t o overseas destinations.
Section 3: Courier Charges (Add $20.00 per TRF if it is more than 30 days or over 5 TRFs if it is less
than 30 days from your test date.)
# TRF’s
If you prefer that your results be sent by courier, please indicate below
Unit Price (per
Total
and include the applicable courier fees.
TRF)
(Unit x TRF’s)
Provincial (within Ontario)
$20.00
0
$ 0.00
National (within Canada)
$30.00
0
$ 0.00
United States of America
$45.00
0
$ 0.00
International (Overseas)*
$75.00
0
$ 0.00
Indicate which TRFs are to be sent via courier:
1.
Institution Name: _____________________________
2.
Institution Name: _____________________________
3.
Institution Name; _____________________________
4.
Institution Name; _____________________________
Total Fees (Section 1+ Section 2 + Section 3)
TOTAL
$ 0.00
Attach Money Order or Certified Cheque (made payable to Conestoga College) to this form, OR complete all
information below. NOTE: Declined credit card transactions will be assessed a Handling Fee of $20.00
==============================================================================
CREDIT CARD AUTHORIZATION
Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
Phone: __________________________________E-mail: ________________________________________
VISA
MASTERCARD
Expiry Date:
_
____
/ _____
(Month / Year)
Card Number (no spaces or dashes):
I hereby authorize CONESTOGA COLLEGE to charge ___________ Cdn. to my credit card. Signature
$ 0.00
of Card Holder: ________________________________________ Date: ___________________
For Office Use Only – 10-Apr-14
Receipt #:
______________________________________
Please email this form to additionaltrf@conestogac.on.ca
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Education