Kid City Christian Preschool
Secure Payment Form
Child's Information
Child Name
Parent's First Name
Parent's Last Name
Street Address
City
State
Zip
Phone Number
Please list number and carrier Verizon, Sprint, AT&T etc..
Email Address
Summary
Date
Tuition/Fees
Convenience Fee (2%)
Total Amount
Description
Tuition, Fees, Napper
Add to School Database
Yes
No
Credit Card Information
Name on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Submit
