InTech - Fees

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2020-21 ICA Fees

Student	First Name		Last Name
Student

Required General Fees

Textbook/Technology Maintenance:

$75.00

Select:

Item Subtotal:

$0.00

Student Activity/Excursion:

$25.00

Select:

Item Subtotal:

$0.00

Science Lab Fee

Biology:

$35.00

Select:

Item Subtotal:

$0.00

Chemistry:

$35.00

Select:

Item Subtotal:

$0.00

Physics:

$35.00

Select:

Item Subtotal:

$0.00

Art Class Fee

Art Class:

$25.00

Select:

Item Subtotal:

$0.00

Optional Purchases

Calculator Rental:

$10.00

Select:

Item Subtotal:

$0.00

PSAT Test (10th and 11th Grade):

$20.00

Select:

Item Subtotal:

$0.00

AP U.S. Government Test:

$95.00

Select:

Item Subtotal:

$0.00

AP Calculus Test:

$95.00

Select:

Item Subtotal:

$0.00

Club Membership Dues

FIRST/VEX Robotics:

$60.00

Select:

Item Subtotal:

$0.00

Total:

$0.00

Payer's Information

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

Payment Information:

Processing Fee Rates:
Cards:	3% plus $0.50 ($1.50 min) (1.5% surcharge for foreign cards)
eCheck:	$0.49

Method of Payment:
Update Name from Personal/Organizational Information

Name on Account:
Routing Number:
Account Number:
Institution:

Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:

Change Payment Method

Please be aware that payments will reflect on your statement as

CBT*INTECH COLLEGIATE and CBT*SVC INTECH CH

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