Payment Form

For all student related services, please contact Student Accounting Services.

You must have your document/invoice number available to make a credit card payment. If you do not know your document/invoice number, please contact us. If you are paying for more than one invoice, please enter the document/invoice numbers and amounts in the comment field so that we may apply your payment to the appropriate invoices.

Any amount due is payable upon receipt. If you have questions concerning your invoice, please contact us.

* – Indicates a required field.

First Name *

Last Name *

Address *

City *

State

Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Armed Forces Africa Armed Forces Americas Armed Forces Canada Armed Forces Europe Armed Forces Middle East Armed Forces Pacific

Province

Country

Zip/Postal *

Telephone *

Email *

Customer Number *

Invoice/Document Number *

Total Amount to Charge *

If paying multiple invoices, please specify amounts and document/invoice numbers below.

Invoice 1

Amount 1

Invoice 2

Amount 2

Invoice 3

Amount 3

Invoice 4

Amount 4

Invoice 5

Amount 5

Comments:

Clicking ‘submit’ will direct you to the University Cashier secured Credit Card Payment page.