Empire Beauty Schools

One Time Payment

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Student Payment

Payment Type

Student Information

Student ID

Student's First Name*

Student's Last Name*

Last 4 Social Security*

Student's Phone Number*

Student's Email Address*

Credit Card Information

Name as on Card*

Card Billing Address*

Card Billing Zip*

Card Number*

Tuition Payment Amount*

Card Expiration Date*

CVV2/CID*