Automated Payment Form

We are excited to offer the safety, convenience and ease of Tuition Express- a payment processing system that allows secure, on-time tuition and fee payments to be made from either your bank account or credit card.

ELECTRONIC FUNDS TRANSFOR AUTHORIZATION FOR BANK ACCOUNT AND CREDIT CARD

3% Processing Fee On ALL Credit/Debit Card Transactions

COMPLETE ONE SECTION ONLY

SECTION A (Credit Card)

Cardholder Address:
Date:

SECTION B (Bank Account)

Address:
Bank or Credit Union Address:
Account Type:
Date: