SIPlive: Early Light Academy



Payment to Early Light Academy

Early Light Academy - Student #1

School Fees:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Student's First and Last Name	[2]
Student's First and Last Name	[3]
Student's First and Last Name	[4]
Student's First and Last Name	[5]
Student's First and Last Name	[6]
Student's First and Last Name	[7]
Student's First and Last Name	[8]
Student's First and Last Name	[9]
Student's First and Last Name	[10]
Student's First and Last Name	[11]
Student's First and Last Name	[12]
Student's First and Last Name	[13]
Student's First and Last Name	[14]
Student's First and Last Name	[15]
Student's First and Last Name	[16]
Student's First and Last Name	[17]
Student's First and Last Name	[18]
Student's First and Last Name	[19]
Student's First and Last Name	[20]

Field Trip:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Desciption of Field Trip	[1]
Student's First and Last Name	[2]
Desciption of Field Trip	[2]
Student's First and Last Name	[3]
Desciption of Field Trip	[3]
Student's First and Last Name	[4]
Desciption of Field Trip	[4]
Student's First and Last Name	[5]
Desciption of Field Trip	[5]
Student's First and Last Name	[6]
Desciption of Field Trip	[6]
Student's First and Last Name	[7]
Desciption of Field Trip	[7]
Student's First and Last Name	[8]
Desciption of Field Trip	[8]
Student's First and Last Name	[9]
Desciption of Field Trip	[9]
Student's First and Last Name	[10]
Desciption of Field Trip	[10]

Donation:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Explanation of Donation	[1]
Student's First and Last Name	[2]
Explanation of Donation	[2]
Student's First and Last Name	[3]
Explanation of Donation	[3]
Student's First and Last Name	[4]
Explanation of Donation	[4]
Student's First and Last Name	[5]
Explanation of Donation	[5]
Student's First and Last Name	[6]
Explanation of Donation	[6]
Student's First and Last Name	[7]
Explanation of Donation	[7]
Student's First and Last Name	[8]
Explanation of Donation	[8]
Student's First and Last Name	[9]
Explanation of Donation	[9]
Student's First and Last Name	[10]
Explanation of Donation	[10]

Extra Curricular Dues:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Description of Extra Curricular Event		[1]
Student's First and Last Name	[2]
Description of Extra Curricular Event		[2]
Student's First and Last Name	[3]
Description of Extra Curricular Event		[3]
Student's First and Last Name	[4]
Description of Extra Curricular Event		[4]
Student's First and Last Name	[5]
Description of Extra Curricular Event		[5]
Student's First and Last Name	[6]
Description of Extra Curricular Event		[6]
Student's First and Last Name	[7]
Description of Extra Curricular Event		[7]
Student's First and Last Name	[8]
Description of Extra Curricular Event		[8]
Student's First and Last Name	[9]
Description of Extra Curricular Event		[9]
Student's First and Last Name	[10]
Description of Extra Curricular Event		[10]

Fines:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Explanation	[1]
Student's First and Last Name	[2]
Explanation	[2]
Student's First and Last Name	[3]
Explanation	[3]
Student's First and Last Name	[4]
Explanation	[4]
Student's First and Last Name	[5]
Explanation	[5]
Student's First and Last Name	[6]
Explanation	[6]
Student's First and Last Name	[7]
Explanation	[7]
Student's First and Last Name	[8]
Explanation	[8]
Student's First and Last Name	[9]
Explanation	[9]
Student's First and Last Name	[10]
Explanation	[10]

Other:

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Explanation	[1]
Student's First and Last Name	[2]
Explanation	[2]
Student's First and Last Name	[3]
Explanation	[3]
Student's First and Last Name	[4]
Explanation	[4]
Student's First and Last Name	[5]
Explanation	[5]
Student's First and Last Name	[6]
Explanation	[6]
Student's First and Last Name	[7]
Explanation	[7]
Student's First and Last Name	[8]
Explanation	[8]
Student's First and Last Name	[9]
Explanation	[9]
Student's First and Last Name	[10]
Explanation	[10]

Early Light Academy - Student #2

School Fees :

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Student's First and Last Name	[2]
Student's First and Last Name	[3]
Student's First and Last Name	[4]
Student's First and Last Name	[5]
Student's First and Last Name	[6]
Student's First and Last Name	[7]
Student's First and Last Name	[8]
Student's First and Last Name	[9]
Student's First and Last Name	[10]

Field Trip :

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Desciption of Field Trip	[1]
Student's First and Last Name	[2]
Desciption of Field Trip	[2]
Student's First and Last Name	[3]
Desciption of Field Trip	[3]
Student's First and Last Name	[4]
Desciption of Field Trip	[4]
Student's First and Last Name	[5]
Desciption of Field Trip	[5]
Student's First and Last Name	[6]
Desciption of Field Trip	[6]
Student's First and Last Name	[7]
Desciption of Field Trip	[7]
Student's First and Last Name	[8]
Desciption of Field Trip	[8]
Student's First and Last Name	[9]
Desciption of Field Trip	[9]
Student's First and Last Name	[10]
Desciption of Field Trip	[10]

Donation :

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Student's First and Last Name	[2]
Student's First and Last Name	[3]
Student's First and Last Name	[4]
Student's First and Last Name	[5]
Student's First and Last Name	[6]
Student's First and Last Name	[7]
Student's First and Last Name	[8]
Student's First and Last Name	[9]
Student's First and Last Name	[10]

Extra Curricular Dues :

Item Subtotal:

$0.00

Explanation of Donation	[1]
Student's First and Last Name	[1]
Description of Extra Curricular Event		[1]
Explanation of Donation	[2]
Student's First and Last Name	[2]
Description of Extra Curricular Event		[2]
Explanation of Donation	[3]
Student's First and Last Name	[3]
Description of Extra Curricular Event		[3]
Explanation of Donation	[4]
Student's First and Last Name	[4]
Description of Extra Curricular Event		[4]
Explanation of Donation	[5]
Student's First and Last Name	[5]
Description of Extra Curricular Event		[5]
Explanation of Donation	[6]
Student's First and Last Name	[6]
Description of Extra Curricular Event		[6]
Explanation of Donation	[7]
Student's First and Last Name	[7]
Description of Extra Curricular Event		[7]
Explanation of Donation	[8]
Student's First and Last Name	[8]
Description of Extra Curricular Event		[8]
Explanation of Donation	[9]
Student's First and Last Name	[9]
Description of Extra Curricular Event		[9]
Explanation of Donation	[10]
Student's First and Last Name	[10]
Description of Extra Curricular Event		[10]

Fines :

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Explanation	[1]
Student's First and Last Name	[2]
Explanation	[2]
Student's First and Last Name	[3]
Explanation	[3]
Student's First and Last Name	[4]
Explanation	[4]
Student's First and Last Name	[5]
Explanation	[5]
Student's First and Last Name	[6]
Explanation	[6]
Student's First and Last Name	[7]
Explanation	[7]
Student's First and Last Name	[8]
Explanation	[8]
Student's First and Last Name	[9]
Explanation	[9]
Student's First and Last Name	[10]
Explanation	[10]

Other :

Item Subtotal:

$0.00

Student's First and Last Name	[1]
Explanation	[1]
Student's First and Last Name	[2]
Explanation	[2]
Student's First and Last Name	[3]
Explanation	[3]
Student's First and Last Name	[4]
Explanation	[4]
Student's First and Last Name	[5]
Explanation	[5]
Student's First and Last Name	[6]
Explanation	[6]
Student's First and Last Name	[7]
Explanation	[7]
Student's First and Last Name	[8]
Explanation	[8]
Student's First and Last Name	[9]
Explanation	[9]
Student's First and Last Name	[10]
Explanation	[10]

Total:

$0.00

Payer's Information

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

Please be aware that payments will reflect on your statement as
Schools 800-764-0844 Clinton UT

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.50 ($1.50 min) (4.5% for foreign cards)
eCheck (ACH):	$0.50

Method of Payment:
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