Lakeview Academy - Misc. Fees
             
 
Payer's Information
First Name: Last Name:
Phone:
Email:
 
Middle School Fees
Middle School:   $150.00   Quantity:   Item Subtotal:  
$0.00
Student's Name [1]
Grade [1]

Student's Name

[2]
Grade [2]

Student's Name

[3]
Grade [3]

Student's Name

[4]
Grade [4]

Student's Name

[5]
Grade [5]

Student's Name

[6]
Grade [6]

Student's Name

[7]
Grade [7]

Student's Name

[8]
Grade [8]

Student's Name

[9]
Grade [9]

Student's Name

[10]
Grade [10]
(Total for school year is $150.00)
Camp Fees
5th Grade Camp Fee:   $30.00   Quantity:   Item Subtotal:  
$0.00
Student's Full Name [1]

Student's Full Name

[2]

Student's Full Name

[3]

Student's Full Name

[4]

Student's Full Name

[5]

Student's Full Name

[6]

Student's Full Name

[7]

Student's Full Name

[8]

Student's Full Name

[9]

Student's Full Name

[10]
9th Grade Camp Fee:   $40.00   Quantity:   Item Subtotal:  
$0.00
 
Total:
$0.00

Payment Information:
Processing Fee Rates:
Cards:3% plus $0.50 ($1.50 min)
(1.5% surcharge 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:
 Change Payment Method

Your statement will describe your payment as CBT*LAKEVIEW ACADEMY

and the service fee transaction as CBT*SVC FEE LAKEVIEW ACA

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