LASD Technology Invoice Payment Form
Use this form to pay invoices from the LASD Technology Department.
Student Name
*
First Name
Last Name
Building Name
*
Please Select
Kelly Elementary
Linntown Intermediate
Middle School
High School
Reason for Fee (from invoice)
*
Number
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: