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.
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