North Davis Preparatory Fees
             
Spain Study Abroad

Suggested Payment Schedule

May - $500.00     June - $250.00     July - $250.00     August - $250.00
   September - $500.00
   October - $500.00   November - $500.00 
 December - $250.00
 
Student First Name
Student Last Name
 
Spain Study Abroad Payment:   $   Item Subtotal:  
$0.00
Other:   $   Item Subtotal:  
$0.00
Purpose [1]

Purpose

[2]

Purpose

[3]

Purpose

[4]

Purpose

[5]

Purpose

[6]

Purpose

[7]

Purpose

[8]

Purpose

[9]

Purpose

[10]
Total:
$0.00
 
Payee 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 Payee 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 Payee Information
Cardholder's Name:
Billing ZIP/Postal Code:
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