Nyack.edu Secure Payment Form


 

Nyack College Housing Fee (Rockland Residential Campus)

Description: $150 housing fee for Nyack College undergraduate students attending the Rockland County residential campus. This fee is refundable until July 15 of the enrollment year for current students and until May 1 for new students.
Quantity: 1
Price: 150

CUSTOMER INFORMATION

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Country:
Phone:
Valid Email:
Your Relationship to Nyack/ATS:
Other?
Please provide the full name, SSN, and birthdate of the student or applicant:
Comments:

BILLING INFORMATION

Amount Due:
$150
Card Number:
CID Number: (code on back of card)
Card Expiration Month: (format MM, e.g. '04' for April)
Card Expiration Year: (format YYYY, e.g. '2021')