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Rome Payment Portal Access Request
Please complete this form to request access to the payment portal system. An email will be sent to you within 24 hours with instructions on activating your account.
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* Indicates required question
First Name (as appears on official docs)
*
Your answer
Last Name (as appears on official docs)
*
Your answer
Email Address (To be used for account)
*
Your answer
Primary Music Affiliation
*
Orchestra
Band
Orchestra and Band
20/21 Student Grade (Next Year)
*
9
10
11
12
Select Your Trip Package
*
Full Trip with Airfare (All Students and Chaperones)
Land Only - No Airfare (Not Officially Traveling With NHS)
Instrument or Designation
*
Chaperone
Family Member - Non Chaperone
Flute
Oboe
Clarinet
Saxophone
Trumpet
French Horn
Trombone
Euphonium
Tuba
Percussion
Color Guard
Violin
Viola
Cello
Bass
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