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Kid City Christian Preschool

Secure Payment Form

       
Child's Name
Parent's First Name
Parent's Last Name
Address
City
State
Zip
Phone Number

Please list number and carrier Verizon, Sprint, AT&T etc..

Email Address
Date
Order Amount
Convenience Fee (2%)
Total Amount
Description

Tuition, Fees, Napper

Add to School Database
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID