2019-20 ICHS Fees
Student
First Name
Last Name
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:
$40.00
Select:
Item Subtotal:
$0.00
Chemistry:
$40.00
Select:
Item Subtotal:
$0.00
Environmental Science:
$40.00
Select:
Item Subtotal:
$0.00
Physics with Technology:
$40.00
Select:
Item Subtotal:
$0.00
Optional Purchases
Yearbook:
$35.00
Select:
Item Subtotal:
$0.00
PSAT Test (10th and 11th Grade):
$20.00
Select:
Item Subtotal:
$0.00
Calculator Rental:
$10.00
Select:
Item Subtotal:
$0.00
AP US History Test:
$95.00
Select:
Item Subtotal:
$0.00
AP Calculus Test:
$95.00
Select:
Item Subtotal:
$0.00
AP Environmental Test:
$95.00
Select:
Item Subtotal:
$0.00
Club Membership Dues
National Honor Society (NHS):
$15.00
Select:
Item Subtotal:
$0.00
FIRST/VEX Robotics:
$30.00
Select:
Item Subtotal:
$0.00
Model United Nations (MUN):
$15.00
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
Method of Payment:
Visa
MasterCard
Discover Card
Personal Checking
Personal Savings
Business Checking
Processing Fee Rates:
Cards:
3% plus $0.50 ($1.50 min)
(4.5% for foreign cards)
eCheck (ACH):
$0.49
Update name from
Payer's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Confirm Account Number:
Credit Card Number:
Expiration Date:
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2020
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2039
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Cardholder Information
(exactly as it appears on your statement)
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Cardholder's Name:
Billing Street Address:
Billing ZIP/Postal Code:
Please be aware that payments will reflect on your statement as
Schools 800-764-0844 Clinton UT
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