By signing below, the student agrees to the following conditions of this deferral.
I agree that failure to pay this deferral prior to the date indicated above will result in a hold being placed on my grade records, and I understand that I will not be permitted to register for any subsequent term until the amount of the deferral is paid in full. I further understand that SUNY Schenectady uses a collections agency and/or attorney as a means of outstanding debt collection. If it becomes necessary for SUNY Schenectady to submit my account for collection, I agree to be responsible for up to 30% of collection costs and/or attorney fees of up to 40%.
If you know any of the following information, please include it. If not, the information will be filled out by Anna Westerman, the VA School Certifying Official. If you have any questions, please contact her in Elston Hall, Room 222. Phone: 518-381-1200 x1185 Email: email@example.com