Examples of Payment Options in a sentence
Payment Options We will provide you with full details of all the payment options available to you when we provide you with your insurance premium.
Payment Options: □ Charge my credit card now for 2014 DirectConnect: Name on Credit Card: Credit Card Number: Expiration Date: Authorized Signature: □ Xxxx me (net 15 days): Name: Company: Billing Address: Email Address: Email or fax back your signed agreement to Xxxxxxx.Xxxxxx@xxxx.xxx or fax 000-000-0000.
Student Name: Student Grade: Student School: Parent/Guardian Name(s): Guardian Email: $20 Insurance Fee Payment Options: (Select one) Check-Made out to New London Public Schools (Add student name and grade in memo area and bring to school secretary) I would like to apply for financial assistance to cover the $20 fee (you will be notified if your request has been approved) I do not wish to participate in the insurance program.
Payment Options: • Cash, Check, Mastercard®, Visa®, American Express®, and Discover Card®.
All payments must be made by Customer in U.S. dollars using one of the options listed on the OneColo Payment Options form.