Payment Form

Payment Form

Educate and Develop the Whole Person For the Glory of God
Student Name *

First Name Last Name
Campus
Parent/Guardian Email *
example@example.com
I would like to make payment for ...

Fees Tuition

Payment Amount *

USD

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

Authorization *

By checking this box I hereby authorize Rainier Christian Schools to collect the above amount from my account. I acknowledge my account will be charged as outlined above and payment made in accordance within standard policy of the account holder.
Should be Empty: