Bear River Middle School
             

Bear River Middle School Fees


Registration - 8th Grade:   $128.00   Select:   Item Subtotal:  
$0.00
Student Name:
 
Registration - 9th Grade:   $131.00   Select:   Item Subtotal:  
$0.00
Student Name:
 
Yearbook:   $22.00   Quantity:   Item Subtotal:  
$0.00
Student Name [1]

Student Name

[2]

Student Name

[3]

Student Name

[4]

Student Name

[5]

Student Name

[6]

Student Name

[7]

Student Name

[8]

Student Name

[9]

Student Name

[10]
 
Band Rent ($50 per Trimester):   $50.00   Quantity:   Item Subtotal:  
$0.00
Student Name: [1]

Student Name:

[2]

Student Name:

[3]
 
Orchestra Rent ($50 per Trimester):   $50.00   Quantity:   Item Subtotal:  
$0.00
Student Name: [1]

Student Name:

[2]

Student Name:

[3]
 
 
Schedule Chg Fee-check w/counselor before paying:   $15.00   Select:   Item Subtotal:  
$0.00
Student Name
 
Total:
$0.00

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

Please be aware that payments will reflect on your statement as

B.E.S.D 800-764-0844 Brigham City UT
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