Technology Invoice Payment Form
Please use this form to submit payment for an invoice issued by the Lewisburg Area School District Technology Department. This form is intended for processing payments related to technology repairs, services, or equipment as invoiced by the department.
Student Name
*
First Name
Last Name
Building
*
Please Select
Kelly Elementary School
Linntown Intermediate School
Donald H. Eichhorn Middle School
Lewisburg Area High School
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Reason for Fee (from Invoice)
*
Technology Department Invoice Amount
*
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( X )
USD
Description
Debit/Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: