UCAS - Lunch - Students

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Utah County Academy of Science
(801) 225-8227

The cost of 1 full-price student breakfast is $1.90. Reduced price breakfast costs $0.30

The cost of 1 full-price student lunch is $3.25. Reduced price breakfasts costs $0.40

Student's Name & Lunch Number	Last Name	,	First Name	-	Student # (For help with your Student # call 801-225-8227)
Student's Name & Lunch Number

Amount:

Item Subtotal:

$0.00

Total:

$0.00

Payer's Information

First Name:		Last Name:
Phone:
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:	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:

Change Payment Method

Your statement will describe your payment as CBT*UCAS HIGH SCHOOL

and the service fee transaction as CBT*SVC FEE UCAS SCHOOL

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