Mountain Heights Academy
             
9067 S 1300 W Ste 204 West Jordan UT 84088
PH: (801)721-6329 FX: (888)670-0032
Email: info@mountainheightsacademy.org
www.mountainheightsacademy.org
 

Parent Organization No Fuss Fundraiser.

$10 Donation:   $10.00   Quantity:   Item Subtotal:  
$0.00
$25 Donation:   $25.00   Quantity:   Item Subtotal:  
$0.00
$50 Donation:   $50.00   Quantity:   Item Subtotal:  
$0.00
$75 Donation:   $75.00   Quantity:   Item Subtotal:  
$0.00
$100 Donation:   $100.00   Quantity:   Item Subtotal:  
$0.00
Other Amount:   $   Item Subtotal:  
$0.00
Total:
$0.00

Personal Information:
First Name: Last Name:
Address:
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City: State/Province: ZIP/Postal Code:
Phone:
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Payment Information:
Processing Fee Rates:
Cards:3% ($1.50 min)
(1.5% additional service fee for foreign cards)
eCheck:$0.49
Method of Payment:
  Credit/Debit Card
  eCheck
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Routing Number:
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Institution:
Name on Card:
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Your statement will describe your payment as 'CBT*MOUNTAIN HEIGHTS'
and the service fee transaction as 'CBT*SVC FEE MOUNTAIN'.
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