Utah Career Path High
             
Career Path High Credit Recovery Fees
2016-17 School Year
 
Student
 
Credit Recovery:   $40.00   Quantity:   Item Subtotal:  
$40.00
 
I agree and acknowledge
By submitting this form I agree to the Credit Recovery Terms and Conditions.
Total:
$40.00
 
Payee's Information
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.49
Update name from Payee's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number:
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Payee's Information
Cardholder's Name:
Billing ZIP/Postal Code:
Please be aware that Card Payments will describe this
transaction as Schools 800-764-0844 Clinton UT
 
Signature/Acknowledment
We (Parent/Guardian) acknowledge, fully understand and agree that: (1) Fees are not refundable, in part or in full, if a student withdraws from Career Path High after the start of the school year. (Fees are for items that have already been purchased per student, such as user licenses for various applications, student laptop, and ID card.) (2) All students are responsible to pay for any loss, breakage or damage they cause. Loss, breakage or damage is not subject to the waiver requirements. Official transcript may be withheld if breakage or damage costs are not paid as outlined in UCA § 53A-11-806.
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