HAMPA Payment Form
Processed through Square.
Student's Name
*
First Name
Last Name
Please indicate what payment is for (i.e. fairshare, fundraiser..).
*
Email for receipt
*
example@example.com
Payment Amount
*
An additional 3.5% processing fee will automatically be added.
Calculation
Total Charge
*
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next
( X )
USD
Credit Card
Submit
Should be Empty: