Delta Elementary School
             
Student NameLastname,Firstname-ID#
 
School Lunch Fees
Reduced Lunch Monthly*:   $8.00   Select:   Item Subtotal:  
$0.00
Reduced Lunch Yearly*:   $72.00   Select:   Item Subtotal:  
$0.00
Regular Lunch Monthly:   $45.00   Select:   Item Subtotal:  
$0.00
Regular Lunch Yearly:   $405.00   Select:   Item Subtotal:  
$0.00
Other Lunch Amount:   $   Item Subtotal:  
$0.00
*All applications for free or reduced lunch must be submitted online at  http://MSD.heartlandapps.com for processing.
Total:
$0.00
 
Parent/Guardian 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 Parent/Guardian 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 Parent/Guardian Information
Cardholder's Name:
Billing ZIP/Postal Code:

Be Aware that this payment will be posted to the Delta North Elementary School. If your student is not attending the Delta North Elementary, do not pay on this payment page as it will delay your funds being posted to your account. Please use one of the other payment links listed below.

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I Understand
This payment will be posted to Delta North Elementary School.
 

Please be aware that payments will reflect on your statement as

Schools 800-764-0844 Clinton UT
 
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