SA High School Student Lunch
             

Summit Academy High School Lunch Payment

StudentLast Name,First Name-Student # (For help with your SIS Number call 801-495-3272)
 
Amount:   $   Item Subtotal:  
$0.00
Please indicate here if you would like the payment split
Total:
$0.00
 

Payee'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% 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

Please be aware that payments will reflect on your statement as

CBT*SUMMIT ACADEMY and the service fee as CBT*SVC FEE SUMMIT A.
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