Success Academy

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SUU Success Academy Fee Schedule
School fees MUST be paid prior to the start of school

Student's First and Last Name	First Name		Last Name
Student's First and Last Name

Honor Society Fee:

$20.00

Select:

Item Subtotal:

$0.00

Photobook Fees:

$30.00

Select:

Item Subtotal:

$0.00

Computer Cord Replacemnt:

$25.00

Select:

Item Subtotal:

$0.00

Total:

$0.00

Parent/Guardian Information

First Name:	Last Name:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

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:

Change Payment Method

Your statement will describe your payment as CBT*SUCCESS ACADEMY

and the service fee transaction as CBT*SVC FEE SUCCESS ACAD

Submitting ...


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