Gateway Preparatory Academy
Ski Trip:
$35.00
Quantity:
Item Subtotal:
$0.00
Students Full Name
[1]
Students Full Name
[2]
Students Full Name
[3]
Students Full Name
[4]
Students Full Name
[5]
Students Full Name
[6]
Students Full Name
[7]
Students Full Name
[8]
Students Full Name
[9]
Students Full Name
[10]
Staff Shirts:
$15.00
Quantity:
Item Subtotal:
$0.00
Full Name
[1]
Full Name
[2]
Full Name
[3]
Full Name
[4]
Full Name
[5]
Full Name
[6]
Full Name
[7]
Full Name
[8]
Full Name
[9]
Full Name
[10]
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:
Visa
MasterCard
Discover Card
Personal Checking
Personal Savings
Business Checking
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:
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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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