CB Healing Institute

101 East 9^th Avenue #13B

Anchorage Alaska 99501

enroll @ 907.248.8961

Promissory Note

Borrower Information

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Last Name                                                     First Name                                          Middle

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Address                                                         City                             State                      Zip

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Home Phone                        Work Phone                  Cell         Best time to reach you

Social Security Number                                                                         E-mail address 

Driver’s License State and Number                                 DOB

Payee Information

CB Healing Institute

101 East 9^th Avenue #13B

Anchorage Alaska 99501

call now @ 907.248.8961

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Principal Amount     twenty-five dollars ($25.00) NFS checks       eight (8%) interest rate

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Monthly Payments  twenty-five dollars ($25.00) late fee                                  months term

For value received the undersigned jointly and severally promise(s) to pay to the order of CB Healing Institute the principal sum of

 ___________________________________

dollars ($ _______ ) together with interest thereon from date at the rate of eight (8%)

percent per annum until maturity, said principal and interest being payable monthly on

the 1st day of each and every month in lawful money of the United States beginning on

________________ 2007, in monthly installments of ___________________________

dollars ($________ ), and continuing thereafter until _______________ or until said

principal and interest have been paid in full, at CB Healing Institute, 101 East 9^th

Avenue #13B, Anchorage, Alaska 99501. There are twenty-five dollars ($25.00) non-

sufficient funds (NFS) checks and a twenty-five dollars ($25.00) late fee after the fifth (5)

of the month.

        Each installment payment shall be credited first to the interest then due, and the 

remainder to the principal.

        Each maker and endorser severally waives demand, protest and notice of maturity, 

non-payment or protest and all requirements necessary to hold each of them liable as 

makers and endorsers and, should litigation be necessary to enforce this note, each 

maker and endorser waives trial by jury and consents to the personal jurisdiction and 

venue of a court of subject matter jurisdiction located in the State of Alaska and 

Municipality of Anchorage.

        Each maker and endorser further agrees, jointly and severally, to pay all costs of 

collection, including a reasonable attorney's fee in case the principal of this note or any 

payment on the principal or any interest thereon is not paid at the respective maturity 

thereof, or in case it becomes necessary to protect the security hereof, whether suit be 

brought or not.

        This note is to be construed and enforced according to the laws of the State of 

Alaska; upon default in the payment of principal and/or interest when due, the whole 

sum of principal and interest remaining unpaid shall, at the option of the holder, become 

immediately due and payable and it shall accrue interest at the highest rate allowable by 

law, or, if no highest rate is otherwise indicated, at eighteen (18%) percent, from the 

date of default.

        Default shall include, but not be limited to non-payment of any respective 

installment within ten (10) days from the due date set out herein, or nonpayment on 

three different occasions of any installments within five (5) days subsequent to the due 

date therefore set out herein.

        Unless specifically disallowed by law, should litigation arise hereunder, service of 

process therefore may be obtained through certified mail, return receipt requested; the 

parties hereto waiving any and all rights they may have to object to the method by which 

service was perfected.

_________________________________________                _____________________

Signature of Student                                                                       Date

________________________________________                  _____________________

Signature of School Official                                                          Date