Highmark Lunch 2018-19
             
Student's Name
Student's Grade
Only order for one student at a time.
If you order for more than more than one student, your order will not process properly.

Sorry for any inconvenience this may cause you.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

 
Payer's 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)
                    (+1.50% processing fee for AMEX cards)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.49
Update name from Payer's 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 Payer's Information
Cardholder's Name:
Billing ZIP/Postal Code:
 

Please be aware that payments will reflect on your statement as 

Schools 800-764-0844 Clinton UT

 
 

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