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If paying application fee, application MUST be submitted with this form. Mark the appropriate box(es) to indicate type of payment.Document Filing Information: Completely fill out information regarding the document that is being submitted. Payment Information: Check the box with your method. Protected A when completed. Fax Number: 613-957-3495. All forms are printable and downloadable. CC Payment Payment By FAX Form (North Idaho College). Purpose of Form. Use Form 9465 to request a monthly installment agreement (payment plan) if you can't pay the full amount.