CURIE ONLINE PAYMENT REQUEST FORM

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CURIE ONLINE PAYMENT REQUEST FORM

This form is for requesting an ONLINE PAYMENT.

Please fill the information is needed below.

Make an online payment. Please note that an additional 4% will be charged for any online payment. To make an online payment, please follow these steps:
• Ensure that the enrollment form has already been filled out and submitted.
• You will receive the invoice via email within 3-4 business days. You can pay the invoice through PayPal, credit card, or debit card. Please note that an additional (nonrefundable) 4% processing fee will be charged.

Invoices for requests will be sent out within 4 days. If it is not paid within 4 days, the invoice will be deleted. Please fill out a new invoice request form if your invoice has been removed.

Email *

I understand that by filling out this request for an online payment, I am consenting to a 4% processing fee. *

I acknowledge the above

Required

STUDENT FULL NAME: *

COURSE NAME (In Details) *

Semester *

Math Instructional Live Session

1st Semester (Fall)

2nd Semester (for Level 1 - 8)

3rd Semester Level 8

September Course

Courses starting in January, February & March

Summer Course

4th Semester Level 8 (January - June 2024)

Required

Subject *

Math

English

Both

Other

Required

ALTERNATE EMAIL ADDRESS *

PHONE NUMBER *

A copy of your responses will be emailed to the address you provided.

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