DAAS HBCU Tour Student Payment Form
May 7 - May 10, 2025
Student Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
School
*
What school do you currently attend?
Have you completed the registration form? If not, please complete that form before continuing
*
Yes
No
Which payment option are you making today ? (You have the option of splitting payments into (2) or making a one-time payment)
*
#1 Partial Payment - $50 Due February 5th
#2 Partial Payment - $50 Due February 26th
#3 Partial Payment - $50 Due March 18th
#4 Partial Payment - $50 Due April 23rd
(or) Full Payment $200
Select below to continue with payment
*
prev
next
( X )
Partial Payment #1 Due by February 5th
Payment is Non Refundable
$
50.00
Quantity
1
Partial Payment #2 Due by February 26th
Payment is Non Refundable
$
50.00
Quantity
1
Partial Payment #3 Due by March 18th
Payment is Non Refundable
$
50.00
Quantity
1
Partial Payment #4 Due by April 23rd
Payment is Non Refundable
$
50.00
Quantity
1
I'll Just Pay the Full Payment of $200 and Get it Out of the Way!
Payment is Non Refundable
$
200.00
Quantity
1
2
3
4
5
6
7
8
9
10
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.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Should be Empty: