SA Draper Jr. High/Elem - EV
Student's Full NameLast Name,First Name
Jr. High Registration Fees:   $100.00   Quantity:   Item Subtotal:  
Jr. High Yearbook:   $25.00   Quantity:   Item Subtotal:  

Parent/Guardain Information
First Name: Last Name:
Phone: Email:

Please be aware that payments will reflect on your statement as

Schools 800-764-0844 Clinton UT

Payment Information
Method of Payment:
Processing Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (4.50% processing fee for foreign cards)
eChecks: $0.50
Update name from Parent/Guardain 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:
Confirm Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Parent/Guardain Information
Cardholder's Name:
Billing ZIP/Postal Code:
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