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Real Academy High School - Student #1
School Fees:
$
Item Subtotal:
$0.00
Student's First and Last Name
School Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Explanation of Donation
Extra Curricular Dues:
$
Item Subtotal:
$0.00
Student's First and Last Name
Description of Extra Curricular Event
Fines:
$
Item Subtotal:
$0.00
Student's First and Last Name
Explanation
Other:
$
Item Subtotal:
$0.00
Student's First and Last Name
Explantion
Real Academy High School - Student #2
School Fees:
$
Item Subtotal:
$0.00
Student's First and Last Name
School Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Explanation of Donation
Extra Curricular Dues:
$
Item Subtotal:
$0.00
Student's First and Last Name
Description of Extra Curricular Event
Fines:
$
Item Subtotal:
$0.00
Student's First and Last Name
Explanation
Other:
$
Item Subtotal:
$0.00
Student's First and Last Name
Explanation
Real Academy High Fundraiser
Fundraiser Promo Cards - Student 1/ Buyer:
$15.00
Quantity:
Item Subtotal:
$0.00
Student / Buyer First and Last Name
[1]
Student / Buyer First and Last Name
[2]
Student / Buyer First and Last Name
[3]
Student / Buyer First and Last Name
[4]
Student / Buyer First and Last Name
[5]
Student / Buyer First and Last Name
[6]
Student / Buyer First and Last Name
[7]
Student / Buyer First and Last Name
[8]
Student / Buyer First and Last Name
[9]
Student / Buyer First and Last Name
[10]
Fundraiser Opt-Out:
$50.00
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]
Additional Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Fundraiser Card Promo - Student 2/ Buyer:
$15.00
Quantity:
Item Subtotal:
$0.00
Student / Buyer First and Last Name
[1]
Student / Buyer First and Last Name
[2]
Student / Buyer First and Last Name
[3]
Student / Buyer First and Last Name
[4]
Student / Buyer First and Last Name
[5]
Student / Buyer First and Last Name
[6]
Student / Buyer First and Last Name
[7]
Student / Buyer First and Last Name
[8]
Student / Buyer First and Last Name
[9]
Student / Buyer First and Last Name
[10]
Fundraiser Opt-Out:
$50.00
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]
Additional Donation:
$
Item Subtotal:
$0.00
Student's First and Last Name
Total:
$0.00
Additional donation are tax deductible,
please email Jose Rincon
if you need a letter for tax purposes.
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
Please be aware that payments will reflect on your statement
as
Schools 800-764-0844 Clinton UT
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