Alternative Programs
             
Student NameLastname,Firstname
 
 
Launch High School
Launch Chromebook Insurance:   $20.00   Select:   Item Subtotal:  
$0.00
Launch Donation:   $   Item Subtotal:  
$0.00
Launch Fundraiser:   $   Item Subtotal:  
$0.00
Launch Other:   $   Item Subtotal:  
$0.00
 
 
Southwest Education Academy
Southwest Chromebook Insurance:   $20.00   Select:   Item Subtotal:  
$0.00
Southwest Donation:   $   Item Subtotal:  
$0.00
Southwest Fundraiser:   $   Item Subtotal:  
$0.00
Southwest Other:   $   Item Subtotal:  
$0.00
 
 
IRON Online
IRON Chromebook Insurance:   $20.00   Select:   Item Subtotal:  
$0.00
IRON Donation:   $   Item Subtotal:  
$0.00
IRON Fundraiser:   $   Item Subtotal:  
$0.00
IRON Other:   $   Item Subtotal:  
$0.00
 
 
Coal Creek
Coal Creek Fundraiser:   $   Item Subtotal:  
$0.00
Coal Creek Donation:   $   Item Subtotal:  
$0.00
 
 
Post High School
Post High Fundraiser:   $   Item Subtotal:  
$0.00
Post High Donation:   $   Item Subtotal:  
$0.00
 
 
Total:
$0.00

Payer's 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

Please be aware that payments will reflect on your statement as

CBT*Iron County School and CBT*Svc Fee Iron School

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