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Delta Technical Center
Student Name
Lastname
,
Firstname
2nd CTSO:
$5.00
Quantity:
Item Subtotal:
$0.00
What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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What is the name of 2nd CTSO?
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FFA Day Trip:
$5.00
Quantity:
Item Subtotal:
$0.00
FFA Monthly Floral Arrangement:
$15.00
Quantity:
Item Subtotal:
$0.00
FFA Jacket and Tie/Scarf:
$60.00
Quantity:
Item Subtotal:
$0.00
Safety Glasses:
$
Item Subtotal:
$0.00
Welding Gloves:
$
Item Subtotal:
$0.00
Metal Bill:
$
Item Subtotal:
$0.00
Wood Bill:
$
Item Subtotal:
$0.00
Night Classes:
$
Item Subtotal:
$0.00
Misc:
$
Item Subtotal:
$0.00
FBLA Membership:
$20.00
Select:
Item Subtotal:
$0.00
FFA Membership:
$20.00
Select:
Item Subtotal:
$0.00
HOSA Membership:
$20.00
Select:
Item Subtotal:
$0.00
SkillsUSA Membership:
$20.00
Select:
Item Subtotal:
$0.00
TSA Membership:
$15.00
Select:
Item Subtotal:
$0.00
Total:
$0.00
Parent'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)
(4.5% for foreign cards)
eCheck (ACH):
$0.49
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
Please be aware that payments will reflect on your statement as
Schools 800-764-0844 Clinton UT
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