UCAS - Lunch - Students
Utah County Academy of Science
940 West 800 South - Orem, UT 84058
(801) 863-2222

Student's Name & Lunch NumberLast Name,First Name-Student # (For help with your Student # call 801-863-2222)
Amount:   $   Item Subtotal:  
Payer's Information
First Name: Last Name:
Payment Information
Processing Fee Rates:
Cards: 3% plus $0.50 ($1.50 min)
(4.5% for foreign cards)
eCheck (ACH): $0.49
Name on Account:
Routing Number:
Account Number:
Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:
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"Schools 800-764-0844 Clinton, UT" on your account
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