I will pay the entire amount in full - $375.
|
I would like to pay with a credit card on a monthly basis.
(Your credit card will be charged $55 for the first month and the book fee, and then it will be billed $46.25 monthly October through May on 1st of the month).
|
|
|
*
- required field
|
This form is secure |
* Your First Name |
|
* Your Last Name |
|
|
|
I would also like |
to make a Donation $: |
* Total amount:
|
payment + donation (if applicable)
|
* Credit card type
|
|
|
|
* Credit card number
|
|
* Expiration Date
|
|
* Security Code
|
|
|
|
* Billing Address
|
|
* City
|
|
* State
|
|
* Zip
|
|
|
|
* Your email address
|
|
* Your phone number
|
|
Comments:
|
|
Thank you for your payment!
|