Account Issue Account / Payment Issues / Student Leaving Student Name* First Last This Is A Payment IssuePayment Issue Payment Failed Mandate Cancelled Payment Failure MonthSelectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberMandate Cancelled MonthSelectJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberA Student Is Leaving - Statement RequiredSelect Yes Notes / Comments / Any Other IssueFinal Lesson Date - This Has Been Scheduled in Acuity DD slash MM slash YYYY Δ
