Lakeview Academy - Misc. Fees
             
Student Supply Donation
Supply Donation:   $25.00   Quantity:   Item Subtotal:  
$0.00
 
Drama Headshot
Drama Headshot:   $10.00   Quantity:   Item Subtotal:  
$0.00
Student's Name [1]
Drama Class Period [1]

Student's Name
[2]
Drama Class Period [2]

Student's Name
[3]
Drama Class Period [3]

Student's Name
[4]
Drama Class Period [4]

Student's Name
[5]
Drama Class Period [5]

Student's Name
[6]
Drama Class Period [6]

Student's Name
[7]
Drama Class Period [7]

Student's Name
[8]
Drama Class Period [8]

Student's Name
[9]
Drama Class Period [9]

Student's Name
[10]
Drama Class Period [10]
 
Dress Down Day
Dress Down Day (per student):   $20.00   Quantity:   Item Subtotal:  
$0.00
Students Full Name [1]
Students Teacher [1]
Students Grade [1]

Students Full Name
[2]
Students Teacher [2]
Students Grade [2]

Students Full Name
[3]
Students Teacher [3]
Students Grade [3]

Students Full Name
[4]
Students Teacher [4]
Students Grade [4]

Students Full Name
[5]
Students Teacher [5]
Students Grade [5]

Students Full Name
[6]
Students Teacher [6]
Students Grade [6]

Students Full Name
[7]
Students Teacher [7]
Students Grade [7]

Students Full Name
[8]
Students Teacher [8]
Students Grade [8]

Students Full Name
[9]
Students Teacher [9]
Students Grade [9]

Students Full Name
[10]
Students Teacher [10]
Students Grade [10]
Dress Down Day (per family):   $50.00   Select:   Item Subtotal:  
$0.00
Student name/teacher/grade for each sibling
 
Total:
$0.00
Payer's Information
First Name: Last Name:
Phone:
Email:
 

Your statement will describe your payment as CBT*LAKEVIEW ACADEMY

and the service fee transaction as CBT*SVC FEE LAKEVIEW ACA
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:
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