Tuition Express Form

Automated Payment Processing Safe – Convenient – Easy

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 TRANSFER AUTHORIZATION FOR BANK ACCOUNT and CREDIT CARD

COMPLETE ONE SECTION ONLY

SECTION A (Credit Card)

Cardholder Name

Phone #

Cardholder Address

City:

Account Number

Expiration Date

Cardholder Signature

Date

SECTION B (Bank Account)

Your Name

Phone #

Address

City

Bank or Credit Union Name

Bank or Credit Union Address

Routing Transit Number (see sample below)

Account Number (see sample below)

Authorized Signature

Date

Tuition Express Form

Admissions team looks forward to learning about you and your family.

Admissions team looks forward
to learning about you and your family.