North Davis Preparatory Fees
             
Student's First Name, Last Name, Student ID# and GradeLastname,Firstname-ID #-Grade
 
Dollar Dress:   $   Item Subtotal:  
$0.00
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Dollar Dress Day is $9.00 for the entire year.
Field Trip:   $   Item Subtotal:  
$0.00
Teacher's Name [1]
Description [1]

Teacher's Name

[2]
Description [2]

Teacher's Name

[3]
Description [3]

Teacher's Name

[4]
Description [4]

Teacher's Name

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Description [5]

Teacher's Name

[6]
Description [6]

Teacher's Name

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Description [7]

Teacher's Name

[8]
Description [8]

Teacher's Name

[9]
Description [9]

Teacher's Name

[10]
Description [10]
Fine:   $   Item Subtotal:  
$0.00
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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 [1]

Description of Payment

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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: (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/Guardian Information
Cardholder's Name:
Billing ZIP/Postal Code:
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