Promissory Note Agreement Form

For value received, which is in the form of loans or educational services provided me for which payment has not been made, or for such services which may be provided me in the future as a student at Southern New Hampshire University, each of the undersigned, jointly and severally if more than one, promise(s) to pay to Southern New Hampshire University, a New Hampshire corporation with a principal place of business at 2500 North River Road, Manchester, New Hampshire 03106-1045 (or any subsequent holder of this Promissory Note), the principal amount of this being the total of such loans or value of such services which has been billed to me and not paid, as such calculated from the date that each loan was made or payment for services was due and not paid in accordance with the policies of Southern New Hampshire University.

 I specifically acknowledge that to the extent my educational expenses are not paid by parents, scholarships, employers, or other sources, I shall be responsible for such payments plus interest as set forth in this Promissory Note.

 Any additional cost or legal fees including, but not limited to the reasonable attorneys fees, incurred by Southern New Hampshire University, its successors and/or assigns, in collecting the amounts due hereunder shall be added to the amount I owe under this note and bear interest at the same rate as the principal amount.

 This is a demand promissory note and if I default on this loan, Southern New Hampshire University, its successors and/or assigns may declare the entire amount of the loan, including interest, immediately due and payable without notice to me. “Default” means the occurrence of any of the following events: my failure to make payment when it is due; my failure to comply fully with the terms and conditions of this Promissory Note; or my filing or a filing against me of a petition in bankruptcy. I shall be entitled to a statement of all charges and interest due hereunder as incurred and/or assigns to demand payment on any particular date shall not be deemed a waiver to demand payment on any future date. I hereby waive my rights to notice of dishonor, demand and presentment of this Note.

 The provisions of this Note will be governed by the laws of the State of New Hampshire. To the extent permitted by law, I consent to the jurisdiction of New Hampshire Courts in any action commenced to enforce the rights of Southern New Hampshire University, it successors and/or assigns under this Note. Should any of the provisions of this Note be rendered invalid, in whole or in part, by any change in applicable law or regulations, or be declared invalid by order, decree or judgment of a court or governmental agency of competent jurisdiction, the remaining provisions of this Note shall not be affected thereby, and this Note shall be construed as if such invalid provisions had been inserted in this Note or as if the new law or regulations were incorporated therein.

I hereby authorize Southern New Hampshire University and/or its agents, including attorneys and/or collection agencies, to contact me via cellular telephone and/or electronic technology to collect the outstanding debt, unless I notify such party in writing to cease such communication.

*Social Security # (last 4 numbers)
*Student ID #
 *Legal First Name:
 * Last Name:
 Middle Initial:
 * Address (line 1)
Address (line 2):
* City:
 * State/Province:
* Zip/Postal code:
* Country:
* Phone Number (include Area Code):
*E-mail Address
In witness of this agreement and Note which I understand to be legally binding. , I have signed this Promissory Note.

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