North Davis Preparatory Fees
             
Student's First Name, Last Name, Student ID# and GradeLastname,Firstname-ID #-Grade
 
Dollar Dress ($9.00 for the entire year):   $9.00   Quantity:   Item Subtotal:  
$0.00
Student's First and Last Name [1]

Student's First and Last Name
[2]

Student's First and Last Name
[3]

Student's First and Last Name
[4]

Student's First and Last Name
[5]

Student's First and Last Name
[6]

Student's First and Last Name
[7]

Student's First and Last Name
[8]

Student's First and Last Name
[9]

Student's First and Last Name
[10]
Dollar Dress Day is $9.00 for the entire year.
Field Trip:   $   Item Subtotal:  
$0.00
Teacher's Name
Description
Fine:   $   Item Subtotal:  
$0.00
Description
Library Fine:   $   Item Subtotal:  
$0.00
Kindergarten Kits:   $   Item Subtotal:  
$0.00
3rd Grade Novels:   $   Item Subtotal:  
$0.00
4th Grade Novels:   $   Item Subtotal:  
$0.00
Replacement Planners:   $5.00   Quantity:   Item Subtotal:  
$0.00
ID Card:   $5.00   Quantity:   Item Subtotal:  
$0.00
Other:   $   Item Subtotal:  
$0.00
Description of Payment
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:
 Update Name from Personal/Organizational Information
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*N DAVIS PREP ACADEMY’ and the service fee transaction as ‘CBT*SVC FEE N DAVIS PREP’
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