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Student's Name
Musical Participation Fee:
$35.00
Quantity:
Item Subtotal:
$0.00
Student's Full Name
[1]
SAA Campus
[1]
North
Antelope
Student's Full Name
[2]
SAA Campus
[2]
North
Antelope
Student's Full Name
[3]
SAA Campus
[3]
North
Antelope
Student's Full Name
[4]
SAA Campus
[4]
North
Antelope
Student's Full Name
[5]
SAA Campus
[5]
North
Antelope
Student's Full Name
[6]
SAA Campus
[6]
North
Antelope
Student's Full Name
[7]
SAA Campus
[7]
North
Antelope
Student's Full Name
[8]
SAA Campus
[8]
North
Antelope
Student's Full Name
[9]
SAA Campus
[9]
North
Antelope
Student's Full Name
[10]
SAA Campus
[10]
North
Antelope
Total:
$0.00
Parent/Guardian Information
First Name:
Last Name:
Phone:
Email:
Payment Information:
Processing Fee Rates:
Cards:
3% plus $0.50 ($1.50 min)
(1.5% additional service fee for foreign cards)
eCheck:
$0.50
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:
Change Payment Method
Your statement will describe your payment as '
CBT*SYRACUSEARTSACADE
'
and the service fee transaction as '
CBT*SVC FEE SYRACUSEA
'.
All Sales Final. No Refunds.
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