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Student's Name
First Name
Last Name
School Fees
7th Grade Fee:
$75.00
Select:
Item Subtotal:
$0.00
8th Grade Fee:
$75.00
Select:
Item Subtotal:
$0.00
9th Grade Fee:
$75.00
Select:
Item Subtotal:
$0.00
Replacement Name Tag:
$5.00
Select:
Item Subtotal:
$0.00
Credit Recovery:
$25.00
Select:
Item Subtotal:
$0.00
Triathlon (Yearly):
$72.00
Select:
Item Subtotal:
$0.00
Triathlon (Monthly):
$8.00
Select:
Item Subtotal:
$0.00
Weight Training (Per Semester):
$25.00
Select:
Item Subtotal:
$0.00
PE Uniform - Shirt:
$8.00
Select:
Item Subtotal:
$0.00
PE Uniform - Shirts (Set of 2):
$15.00
Select:
Item Subtotal:
$0.00
Junior High Yearbook:
$30.00
Select:
Item Subtotal:
$0.00
Sports Fee:
$35.00
Select:
Item Subtotal:
$0.00
Field Trip:
$
Item Subtotal:
$0.00
Name of Field Trip
School Spirit Clothes:
$
Item Subtotal:
$0.00
Description of School Clothes
Lunch Payments:
$
Item Subtotal:
$0.00
Lunch Note
Miscellaneous Fee:
$
Item Subtotal:
$0.00
Please give a description of what the payment is for
Total:
$0.00
Payer's Information
First Name:
Last Name:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:
3% plus $0.50 ($1.50 min)
(4.5% for foreign cards)
eCheck (ACH):
$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
Schools 800-764-0844 Clinton UT
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