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Voyage Academy
801-776-4900
Donations/Contributions
Expedition Contribution 2020-2021:
$20.00
Quantity:
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Student's First and Last Name
[2]
Student's First and Last Name
[3]
Student's First and Last Name
[4]
Student's First and Last Name
[5]
Student's First and Last Name
[6]
Student's First and Last Name
[7]
Student's First and Last Name
[8]
Student's First and Last Name
[9]
Student's First and Last Name
[10]
Expedition Contribution 2021-2022:
$20.00
Quantity:
Item Subtotal:
$0.00
Student's First and Last Name
[1]
Student's First and Last Name
[2]
Student's First and Last Name
[3]
Student's First and Last Name
[4]
Student's First and Last Name
[5]
Student's First and Last Name
[6]
Student's First and Last Name
[7]
Student's First and Last Name
[8]
Student's First and Last Name
[9]
Student's First and Last Name
[10]
Classroom Donation - Student:
$
Item Subtotal:
$0.00
Student's First and Last Name
Teacher's Name/Department
LeFevre
Bradshaw
Troyer
Barker
Dixon/Caldwell
Coster
Farley
Richardson
Thompson
Packer
Rea
Call
Page
Marietti
Larsen
Starke
Owens
Port
Hilton
Costello
Art
Music
PE
SPED
Reading
PCO Membership:
$6.00
Select:
Item Subtotal:
$0.00
Library Book Fee:
$
Item Subtotal:
$0.00
Student's First and Last Name
Library Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Art Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Life Skills Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Music Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Student Council 2021-2022:
$60.00
Quantity:
Item Subtotal:
$0.00
Student First and Last Name
[1]
Student First and Last Name
[2]
Student First and Last Name
[3]
Student First and Last Name
[4]
Student First and Last Name
[5]
Student First and Last Name
[6]
Student First and Last Name
[7]
Student First and Last Name
[8]
Student First and Last Name
[9]
Student First and Last Name
[10]
Student First and Last Name
[11]
Student First and Last Name
[12]
Student First and Last Name
[13]
Student First and Last Name
[14]
Student First and Last Name
[15]
Student First and Last Name
[16]
Student First and Last Name
[17]
Student First and Last Name
[18]
Student First and Last Name
[19]
Student First and Last Name
[20]
Non-Student Lunch Payment
Non-Student Lunch Payment:
$
Item Subtotal:
$0.00
Name
Miscellaneous Payments
Other:
$
Item Subtotal:
$0.00
Please describe this payment
Student or Staff Full Name
Total:
$0.00
Payer's Information
First Name:
Last Name:
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:
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Schools 800-764-0844 Clinton UT
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