Make a Payment

Student's Full Name*

First NameLast Name

Person Making Payment*

First NameLast Name

Phone Number*

E-mail*

Program*

Lone Star Leadership Academy - Lost and Found ShippingLone Star Leadership Academy - Dallas/Fort WorthLone Star Leadership Academy - Austin/San AntonioLone Star Leadership Academy - Houston/GalvestonLone Star Leadership Academy Alumni Council

Enter Payment Amount*

2.8% Convenience Fee

Total

This is a:*

Payment for my own child.Donation/Sponsorship for a student who is not my child.

Refund and Fees Policy Acknowledgement

I acknowledge that I am aware of Education in Action's refund and fees policy for my student's program and that the payment I am submitting today is subject to that policy.

A copy of the refund and fees policy for your student's program can be obtained by contacting Education in Action at 817-562-4957 ext. 104.

If you know the email address of the student or parents you are supporting and would like a notification of your donation sent, please enter it here:

Refund Policy Acknowledgement

I understand that all donations/sponsorships are non-refundable, and that if the student I am supporting does not attend the program, my donation will be placed in the general scholarship fund which is used to provide $100 scholarships for students who qualify for the free/reduced price meal program to attend the Lone Star Leadership Academy.

Signature*

Use your mouse to draw your signature.

Total

USDIncludes a 2.4% credit card convenience fee.

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country