Third Party Billing Form

GISS is happy to accommodate company billing. To help us ensure correct and timely invoicing, please fill out this form if a third party (company, government organisation, etc.) will pay/ reimburse tuition & other fees on behalf of the family. Please remember that the ultimate responsibility for payment of all school fees, including late fees remains with the enrolled family.

Student Details

1st Student Given names *

1st Student Family name *

2nd Student Given names

2nd Student Family name

3rd Student Given names

3rd Student Family name

4th Student Given names

4th Student Family name

Company / Billing contact details

Company name *

Billing Contact Person: *

Billing Email: *

Billing Phone number: *

Billing address:

Street address

City

State

Postcode

Country

Invoice Details

Name(s) on invoice: *

Company / OrganisationFamily name

Please indicate where to send invoices: *

Company billing contactFamily Email

Please check which fees the company/organisation will cover* *

Regular tuitionSchool booksResource levy (Excursions, IT resources, workbooks, art supplies)mandatory class campsBus transportMisc. school supplies (calculators, geometric rulers, school shirts)

* All unchecked fees will be separately invoiced to the family account.

Name and Signature of the person who completed the form

Enter your name *

Your role in the company or relation to the student *

Please enter your email address for confirmation: *

Signature *

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