Use this form to submit your payment (or donation). Payment goes to: The School or Organization: San Gabriel Academy 8827 E Broadway Payment Amount and Purpose: Amount of Payment: Purpose of Payment: Card Information: Name of person on Card: Relationship to Card Holder:(if different) Parent Grandparent Spouse Type of Card: VISA MasterCard Discover Amex Card Number: Exp. Date: Month: January February March April May June July August September October November December Year: 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 CVV Number: whats this? Your Personal Identifying Information: Name of donor if different: Card Billing Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Code: Phone: Email: I agree to the terms in the Donor User Guide, and I authorize MySchoolPayment.com to charge my card for this payment (or donation). Click only once or the card may be charged twice. An e-mail notification will be sent to the School or Organization, and a copy will be sent to the e-mail address given for the card holder. Print a copy of your receipt that will appear on your screen. The School or Organization will also give or send you a receipt.
Use this form to submit your payment (or donation).
The School or Organization:
Payment Amount and Purpose:
Amount of Payment:
Purpose of Payment:
Name of person on Card:
Relationship to Card Holder:(if different)
Type of Card:
Card Number:
Exp. Date:
CVV Number:
Your Personal Identifying Information:
Name of donor if different:
Card Billing Address:
City:
State:
Zip Code:
Phone:
Email:
I agree to the terms in the Donor User Guide, and I authorize MySchoolPayment.com to charge my card for this payment (or donation).
Click only once or the card may be charged twice.
An e-mail notification will be sent to the School or Organization, and a copy will be sent to the e-mail address given for the card holder. Print a copy of your receipt that will appear on your screen. The School or Organization will also give or send you a receipt.
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