Voyage Academy - Misc Fees
             
Voyage Academy
801-776-4900
 
Donations/Contributions
Expedition Contribution 2022-2023:   $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
PCO Membership:   $5.00   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 2022-2023:   $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)
(1.5% surcharge for foreign cards)
eCheck:$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

Your statement will describe your payment as ‘CBT*VOYAGE ACADEMY’ and the service fee transaction as ‘CBT*SVC FEE VOYAGE ACAD’
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