LASD Technology Invoice Payment Form
Use this form to pay invoices from the LASD Technology Department
Student Name
First Name
Last Name
Student ID
Home Room
School Name
Please Select
Kelly Elementary
Linntown Intermediate
Middle School
High School
Reason for Fee (from invoice)
Amount Billed by IT Department
Amount to be Paid, Including Convenience Fee
Technology Invoice Payment
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( X )
USD
Amount Billed by IT Department
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: