PREP Registration Online Payment Form

2020-2021 PREP

Online Payment Form

You may use this for form to pay any unpaid 2020-21 Prep Registration and Buy Out Fees via your credit card, ACH or e-check transaction.

Be sure to complete and submit registration forms separately (either online using the Online PREP Registration Form or via the paper package avaliable in the Parish Center, PREP Office or mailed out to previous PREP families). If you haven't already completed and turned in a registration form for each child you wish registered for the 2020-210 PREP year please so do.

Pricing for the 2020-21 PREP Year is:

Single Student Parishioner Registration Fee - $125
Additional Student Parishioner Registration Fee - $100 ea.
Non-Parishioner Registration Fee - $175 ea.
Late Registration Fee (after May 1, 2020) - $50 per family
Buy Out Donation - $50 per family

Payments made online are processed immediately. Thank you for using our online payment form.

General Information

This information indicates which student(s) family the online payment covers.

Name of Parent/Guardian

First Name*

Last Name*

Name of 1st Student Registered

First Name*

Last Name*

Name of 2nd Student Registered

First Name

Last Name

Name of 3rd Student Registered

First Name

Last Name

Parent/Guardian E-mail

Required*

Prep Registration Fees

PREP Registration Fees

		Quantity	Extended

	First Parishioner Registration \| $125.00
	Each Additional Parishioner Registration \| $100.00
	Each Non-Parishioner Registration \| $175.00

Payment Information

Order Summary

Subtotal
Discount
Sales Tax
Shipping & Handling
Total

Payment Type Credit Card
ACH / eCheck

Credit Card

Name on Card
First Name*	Last Name*

Card Number* - - -

Accepted Types

Security Code (CVV2)* | What's this?

Expiration Date*

Billing Address

Street 1*

Street 2

City*

State*

Zip*

Provide the billing address

Phone Required* -- Provide a contact phone number for the billing contact.

ACH / eCheck

Name on Account
First Name*	Last Name*

Routing Number*

Account Number*

What type of account is this?*
Checking
Savings

Billing Address

Street 1*

Street 2

City*

State*

Zip*

Provide the billing address

Phone Required* -- Provide a contact phone number for the billing contact.

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PREP Registration Online Payment Form

First Parishioner Registration | $125.00

Each Additional Parishioner Registration | $100.00

Each Non-Parishioner Registration | $175.00

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