PRIVATE MUSIC INSTRUCTION HILLFIELD STRATHALLAN COLLEGE
RECORD OF ON CAMPUS SERVICES MONTH: ____________________________________________________________ INSTRUCTOR NAME: ________________________________________________ TOTAL # OF SESSONS DURING PERIOD: _____________________________ TOTAL SESSON FEES FOR PERIOD: $_________________________________ 13.5% FEE DUE FOR PERIOD: $_______________________________________ + LUNCHES: # DAYS @ $5.65 ($5 plus HST): $________________________ Total Payment Submitted: $__________________________________________
BFO USE ONLY PAYMENT DATE: ______________ RECEIVED BY: _________________ Cheque #: _____________________ Deposit fees to 01-4235-240 $ _________________________ Deposit lunches to 01-6515-137 $ _____________________ Deposit HST to 01-2031-000 $ _________________________
Submission Statement I confirm that the above information is a true, accurate, and complete account of the total number of lessons provided and related fees billed at Hillfield Strathallan College during the specified period and is in compliance with the Private Music Instructor Agreement between myself and Hillfield Strathallan College. ___________________________________________________ Signature