APMS Payment Form 21-22
Please complete this Form for any payment for APMS.   Email address is collected so that a copy of this form can be emailed. You will also be emailed a receipt for payment from Payezzy.  A 3% convenience fee will be charged for this transaction.
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Email *
Student's LAST name *
Student's First name *
Student ID # (if known)
What is the payment for? Select all that apply *
Required
Optional - Notes for Clarification
PLEASE NOTE: You MUST click on the link in the Form Confirmation Message after you click SUBMIT, or you will NOT actually make a payment. *
Required
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