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Student First Name
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Student Last Name
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Student ID Number
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Payor Name
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Relationship to student
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Mailing Address
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City
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State
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Zip
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Preferred Phone #
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Tuition Payment and Fees*
Check one or more of the following tuition and fee payment options.
$14,925.00
$5,075.00
$300.00 Technology Fee (All Students) - due July 1
$40.00 P.E. Fee (Freshmen Only) - due July 1
$150.00 Graduation Fee (Seniors Only) - due July 1
Other
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Total Due
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