online self study - Y2academy

Digital Online Self Study

Online Payment is prepared to pay tuition by credit card remotely and conveniently. As soon as you complete this payment process as seen below, you will get emailed back with an appreciation receipt promptly.

Student First Name * Student Last Name *
Student Phone * (ex: 123-456-7890) Student's Email *
School Name * Grade *
Date of Birth (MM/DD/YY)

Class to register* Location to register*
Nation State
City Address *
Zip *

Preparer* Preparer(Payer) Name *
Preparer Phone Number * (ex: 123-456-7890) Preparer Email *
How did you hear about us? *

Tution amount including everything (US $) Promotional Discount (US $)
Online Payment Discount (US $) Paid Amount * (US $)
Cardholder Name * Paid Date
Billing Address City
State Zip