AD ASTRA TUITION CHECK PAYMENT FORM

AD ASTRA Tuition Check Payment Form
If paying tuition fees by check or cashier's check, please fill out this form.

Immediately after submitting, you will receive an email confirmation.

Please print the confirmation and mail it with your check to:

Ad Astra Youth Orchestra Kansas City

Attn: Tution Payments

11750 West 135th Street, #146

Overland Park, KS 66221

Please make sure your child's name is clearly printed on the memo portion of the check.

Checks and payments are not collected or accepted at rehearsals, concerts, or events.
Ad Astra Student Name

First NameLast Name
Ad Astra Student Ensemble
Ad Astra Student Instrument
Name of Person Mailing Check/Name on Check

First NameLast Name
Email to Receive Confirmation to Print
example@example.com
Type of Check
Check Number
Check Amount
Date

MonthDayYear
Date
Additional Information
Should be Empty: