Customized Payment Authorization

Student Name(Required)
Parent/Guardian Name(Required)
Billing Address(Required)

Payment Terms: Payment for your College Funding Plan to take place in two installments of $625.00 on or about July 15, 2022 and September 1, 2022.
MC/VISA/AMEX/Discover
3 or 4 digits

Consent(Required)
This field is for validation purposes and should be left unchanged.