SIPlive: Cedar Middle School (L.?)

Cedar Middle School Fees - 7th Grade

Student Name	Lastname	,	Firstname
Student Name

Required Fees

Activity Fee:

$15.00

Select:

Item Subtotal:

$0.00

Text Book Fee:

$35.00

Select:

Item Subtotal:

$0.00

CTE Introduction:

$15.00

Select:

Item Subtotal:

$0.00

Optional Fees

Yearbook:

$25.00

Select:

Item Subtotal:

$0.00

Art Foundations I:

$15.00

Select:

Item Subtotal:

$0.00

Adv. Foundations 2D Art:

$15.00

Select:

Item Subtotal:

$0.00

Theater Foundations I:

$5.00

Select:

Item Subtotal:

$0.00

FACS Exploration:

$15.00

Select:

Item Subtotal:

$0.00

Musical Theater:

$15.00

Select:

Item Subtotal:

$0.00

Exploring Technology I:

$15.00

Select:

Item Subtotal:

$0.00

Exploring Technology II:

$15.00

Select:

Item Subtotal:

$0.00

Beg. Fitness, Skills, Dance:

$5.00

Select:

Item Subtotal:

$0.00

Total:

$0.00

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:
Address:
Address:
City:	State/Province:	ZIP/Postal Code:
Phone:
Email:

Payment Information

Method of Payment:

Processing Fee Rates:

Cards: 3% plus $0.50 ($1.50 min)
(4.5% for foreign cards)

eCheck (ACH): $0.49

	Update name from Payer's Information
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)
	Update from Payer's Information
Cardholder's Name:
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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