SIPlive: Gateway Preparatory Academy Misc Fees (L.?)

Gateway Preparatory Academy

Faculty/Patron Other:

Item Subtotal:

$0.00

Faculty or Patron Name and ID Number				[1]
Faculty or Patron Name and ID Number				[2]
Faculty or Patron Name and ID Number				[3]
Faculty or Patron Name and ID Number				[4]
Faculty or Patron Name and ID Number				[5]
Faculty or Patron Name and ID Number				[6]
Faculty or Patron Name and ID Number				[7]
Faculty or Patron Name and ID Number				[8]
Faculty or Patron Name and ID Number				[9]
Faculty or Patron Name and ID Number				[10]

Total:

$0.00

Please use this Lunch Portal to make payments for Student Lunch.

Contact Info

First Name:		Last Name:
Phone:		Email:

Payment Information

Method of Payment:

Processing Fees:

Credit cards: 3% plus $0.50 ($1.50 min)
(+1.5% processing fee for foreign cards)
eChecks: $0.49

	Update name from Contact Info
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:	(Type number or swipe with cursor in this empty field)
Expiration Date:	/
Card ID (CVV2/CID) Number:	What is the Card ID?

Cardholder Information (exactly as it appears on your statement)
	Update from Contact Info
Cardholder's Name:

Billing ZIP/Postal Code:


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