Only this fill this form out if you have never received a card before
If you are having trouble completing please talk to your class instructor
Info Needed to get paid
Address
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Street Address
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City
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E-mail
example@example.com
Phone Number
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Format: (000) 000-0000.
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First Name
Last Name
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Year
Date
what grade are you going into in 2024-2025 year
If we mailed you a usbank card please what is the last 8 number on the front of card
are you taking the class in person or virtual
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