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STUDENT PAYMENTS
Students Full Name
Last Name
,
First Name
-
Student #
Parent/Guardian Name
Library Fee:
$
Item Subtotal:
$0.00
Description
Misc. Payment:
$
Item Subtotal:
$0.00
Description of Payment
Total:
$0.00
Payer's Information
First Name:
Last Name:
Email:
Payment Information:
Processing Fee Rates:
Cards:
$2.00
eCheck:
Free
Method of Payment:
Credit/Debit Card
eCheck
Update Name from Above
Name on Account:
Routing Number:
Account Number:
Institution:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
Payment method will be collected on external device
Change Payment Method
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CORE Payments
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CORE Business Technologies
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CORE Payments Version 5.0.167; (API: 2.22)
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