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RnD Academy- CC Payment Authorization Form
Fill out the form carefully to update required Credit Card on file for your child.
Student Name
*
First Name
Middle Name
Last Name
Students School
*
Apple Tree
Fullerton Children's Academy
Lamb of God
Little Shepherd's LC
Montessori Children's World
Seaside Preschool
Village Montessori
Zion Lutheran ECEC
Zion Lutheran SAC
Newport Ave Preschool
Parent/Gaurdian E-mail
*
Contact Number
*
-
Area Code
Phone Number
NEW CC INFORMATION
*
Please choose payment type change
*
Change my monthly payment plan to Auto-Pay
Update my CC on-file only
Change to Auto-Pay & Update my CC on-file.
Card Holder Agreement: There is a $35.00 decline fee that applies to all declined charges, regardless of reason . A 30 day e-mail drop contract is required to stop payment for all students including Auto-Pay with our program. There is a 5% CC fee added or all CC payments.
*
Cardholder agrees to perform the obligations set forth in the cardholder’s agreement with the Issuer, RnD Academy.
RnD Academy Policy Agreement
Cardholder Signature
*
Make a Payment today to bring your account to current
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( X )
Preschool Class Monthly + Decline Fee
$
95.55
Preschool Classes + Fee
Elementary Class + Decline Fee
$
97.65
Elementary Class Monthly Fees + Decline Charge
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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