2018-19 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
Course/Lab Fees
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
Intro to Engineering:
$10.00
Select:
Item Subtotal:
$0.00
Principles of Engineering:
$10.00
Select:
Item Subtotal:
$0.00
Engineering Lab Fee:
$10.00
Select:
Item Subtotal:
$0.00
Gaming Development I & II:
$10.00
Select:
Item Subtotal:
$0.00
Digital Media I and II:
$10.00
Select:
Item Subtotal:
$0.00
Digital Photography Class Fee:
$10.00
Select:
Item Subtotal:
$0.00
Computer Progamming I & II:
$10.00
Select:
Item Subtotal:
$0.00
Robotics I:
$10.00
Select:
Item Subtotal:
$0.00
Optional Purchases
Yearbook:
$35.00
Select:
Item Subtotal:
$0.00
PSAT Test:
$20.00
Select:
Item Subtotal:
$0.00
AP Government Test:
$94.00
Select:
Item Subtotal:
$0.00
AP Calculus AB Test:
$94.00
Select:
Item Subtotal:
$0.00
AP Language and Composition Test:
$94.00
Select:
Item Subtotal:
$0.00
Lagoon:
$34.00
Select:
Item Subtotal:
$0.00
Ski Day:
$28.00
Select:
Item Subtotal:
$0.00
Club Membership Dues
National Honor Society (NHS):
$15.00
Select:
Item Subtotal:
$0.00
Aeronautic Club:
$60.00
Select:
Item Subtotal:
$0.00
FIRST 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
Convenience Fees:
Credit cards:
3% plus $0.50 ($1.50 min)
(+1.5% convenience for foreign cards)
eChecks:
$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:
Credit Card Number:
Expiration Date:
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07
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2018
2019
2020
2021
2022
2023
2024
2025
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2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
Card ID (CVV2/CID) Number:
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Cardholder Information
(exactly as it appears on your statement)
Update from
Payer's Information
Cardholder's Name:
Billing Street:
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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