Tuition Payment Form

Student Information

First Name

Last Name

Student ID

Invoice Number

Please choose one option:

Credit Card (2.75% Fee will be added)ACH / eCheck

Payment Amount

Credit Card Fee Amount

Total Amount

Billing Information

Billing Country

Billing Street

Billing City

Billing State

Billing Zipcode

Payment Information (Credit Card)

A 2.75% fee will be added to credit card payments.

Name on Card

Card Number

Code

Billing Email

Payment Information (ACH)

Account Holder Name

Bank Routing Number

Bank Account Number

Bank Name

Bank Account Type

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