Somersfield Academy - Student Laptop Order Form 2024
NOTE:  One Form Per Student
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Email *
Student First Name *
Student Last Name *
Student Year Group
Other Reason For Purchase

Laptop Package

*
Payment Plan *
Parent / Guardian First Name *
Parent / Guardian Last Name
*
Email Address *
All orders are non-refundable

Students' accounts will be charged based on the payment plan chosen above. Please note that all payments should be made online via

Butterfield Bank Account: 20006060887473100 BMD

Butterfield Bank Account: 20006840887473100 USD

Please mark the students' name and "For Laptop Purchase" in the note section of the bank's online payment website.
A copy of your responses will be emailed to the address you provided.
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