Make a Payment

Student Information
* Student first name:
Student middle name or initial:
* Student last name:
Student last name suffix:
Expected Entry Term:
Payment Information
Payment Amount: $
Payment Reason:
 
Cardholder Information
First name:
Last name:
Country:
Address:
City:
State:
Postal Code:
Email Address:

You must provide your email address if you want a payment receipt sent via email.

Phone Number:
 -  - 
Card Information
* Credit Card Type:
* Credit Card Number:
        
* Expires:
  
* CCV Code:

Please click the "Submit" button only once in order to avoid a double charge to your card.