Faith Lutheran Preschool Tuition Payment Form

 
Payment Transaction Information:
Customer IP: 18.212.83.37 
Payment Date: 05/18/19
Payment Number:
Student(s) to apply payment for:
Receipt Email Address:
           
Payment Amount:
Service Fee (2%):
Total Charge:
           
Credit Card Information:
Card Type:

Name as on Card:
First Name:
Last Name:
Card Billing Street Address:
Card Billing City:
Card Billing State:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
 
[What is the Card ID?]
   

Refund Policy: All payments are non-refundable and non-transferable.