Cedar Middle School
Cedar Middle School Fees - 6th Grade
Student NameLastname,Firstname
Required Fee For All Students
Activity Fee:   $15.00   Select:   Item Subtotal:  
Text Book Fee:   $35.00   Select:   Item Subtotal:  
Optional Fees
Art:   $15.00   Select:   Item Subtotal:  
Yearbook:   $25.00   Select:   Item Subtotal:  

Band/Orchestra/Guitar: No specific fee is charged for this class, however, students are expected to provide their own instrument or rent one from the school and purchase the required technique book.

Payer's Information
First Name: Last Name:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: 3% plus $0.50 ($1.50 min)
                    (4.50% processing fee for foreign cards)
eChecks: $0.49
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Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Confirm 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)
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Billing ZIP/Postal Code:

Please be aware that payments will reflect on your statement as

Schools 800-764-0844 Clinton UT

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