Eufaula High School Band Online Credit/Debit Card Payments
* Use this form to make payments to the EHS Band using credit or debit cards.
* Cash & check payments are also still accepted.
* To use your card, completely fill out all lines below.
* Your card is not being charged by completing this form.  It will take 1-3 business days to process.  Once processed , you will receive an emailed receipt.  A paper receipt can be printed if requested.
* Once the card has been processed, the information will be not be saved.  It will be deleted and not shared.
* If you would prefer to have your card swiped, bring it to me and I can swipe it.

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Your Name (first and last) *
Band Student Name (if different from above)
e-mail address *
What is this payment for? (ex: trip payment, chocolates fund raiser, band fees, tshirt, etc.) *
Amount to be paid *
Name printed on the card *
Phone number (of the card owner) *
16 digit card number *
Card Expiration Date (MM/YY) *
CCV/CVC security code on the back of the card *
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