Ofc | Use | Only | Enrollment Agreement TWC VET SP Other Ofc phone / 903-504-5211 DFE tech 3971-B NNE Loop 323 Tyler, TX 75708 Fax: (877) 926-7460 Email Address: admissions@dfetech.org First Name: Last Name: Phone #: Address: City: State: Email Address: Zip: Date: Student SS# _ Date of Birth Office Use ONLY Program: Drilling Fluids Engineering Start Date: The Drilling Fluids Engineering Program is approx. 168 Hours in length. Normal time required to complete the program is 07 weeks. The maximum time allowed to complete the program (if req.) is 08 weeks. PRICE Tuition Registration Textbooks Supplies TOTAL ( scholarships may apply) $12,400 $100 Included Included $12,500 Payment Method and Payment Schedule: All training fees are due in advance. Any holder of this consumer credit contract is subject to all claims and defenses which the debtor could assert against the seller of goods or services obtained pursuant hereto or with the proceeds hereof. Recovery hereunder by the debtor shall not exceed the amounts paid by the debtor hereunder. Approved and Regulated by the Texas Workforce Commission A full refund will be made to any student who cancels the enrollment contract within 72 hours (until midnight of thethird day excluding Saturdays, Sundays and legal holidays) after the enrollment contract is signed. A full refund will also be ade to any student who cancels enrollment within the student's first 3 scheduled class days, except that the school may retain not more than $100 in administration fees charged, as well as items of extra expense that are necessary for the portion of hte program attended and states separately on the enrollment agreement. **By signing below I, acknowledge that I have received a copy of the school catalog and enrollment agreement. I am not liable for Tuition fees if I decide not to attend DFE tech. Date/ Signature of Student Signature of Parent/Guardian If applicant is not 18 years of age / Signature of Authorized School Official / Representative DFE tech Enrollment Agreement Rev 6/01/12 1 of 5