This site requires Javascript be enabled.
To continue, please enable Javascript by following instructions specific to the browser you are using.
Independence Jr. High Campus Registration
Student's Full Name
Last Name
,
First Name
Jr. High Registration Fees:
$75.00
Quantity:
Item Subtotal:
$0.00
Yearbook:
$30.00
Quantity:
Item Subtotal:
$0.00
Total:
$0.00
Parent/Guardian Information
First Name:
Last Name:
Phone:
Email:
Please be aware that payments will reflect on your statement as
CBT*SUMMIT ACADEMY
and the service fee as
CBT*SVC FEE SUMMIT A
.
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
Submitting ...
Cancel
SIP
Program & Data © 2006-2022
Instant Payments
All rights reserved.
~
Terms & Conditions
~
Privacy Policy
~
Contact Us
~
SIP Version 3.10.15409; (API: 2.20)
