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DONATIONS AND FINES
Donation Amount #1:
$
Item Subtotal:
$0.00
Teacher Name or Grade:
On behalf of: (Student Name)
Please select one:
Field Trip Donation
Misc. Donation
Donation Amount #2:
$
Item Subtotal:
$0.00
Teacher Name or Grade:
On behalf of: (Student Name)
Please select one:
Field Trip Donation
Misc. Donation
Fine Amount #1:
$
Item Subtotal:
$0.00
What is the fine for:
Students Name:
Fine Amount #2:
$
Item Subtotal:
$0.00
What is the fine for:
Students Name:
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% surcharge for foreign cards)
eCheck:
$0.50
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
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CORE Business Technologies
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SIP Version 3.20.16078; (API: 2.21)
