Davinci Academy - Misc Fees

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Donations

Donation:

Item Subtotal:

$0.00

Memo:

Total:

$0.00

Personal 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% additional service fee for foreign cards)
eCheck:	$0.49

Method of Payment:	Credit/Debit Card eCheck
Update Name from Above

Name on Account:
Routing Number:
Account Number:
Institution:

Name on Card:
Account Number:
Expiration Date:
Billing Street Address:
Billing ZIP/Postal Code:

Payment method will be collected on external device

Change Payment Method

Your statement will describe your payment as ‘CBT*DAVINCI ACADEMY’ and the service fee transaction as ‘CBT*SVC FEE DAVINCI ACAD’

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