Nu'uanu Baptist Preschool Online Payment Form
Parents or guardians may use this form to pay their child's preschool tuition through credit or debit card
Name of Child
*
Payment
Monthly ($720.00)
Customized Payment
Monthly ($720.00)
Customized Payment
Amount
Payment for Month of:
*
Please select one option.
January
February
March
April
May
June
July
August
September
October
November
December
Customized Payment
Select Option
January
February
March
April
May
June
July
August
September
October
November
December
Customized Payment
If making a customized payment, please specify reasons & provide detailed information
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
Parents or guardians may use this form to pay their child's preschool tuition through credit or debit card
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