Nyack.edu Secure Payment Form


 

Nyack.edu Secure Payment Form


 

Nyack College International Student Tuition Deposit (Rockland)

Description: $2000 tuition deposit for international students.
Quantity: 1
Price: 2000

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 and birthdate of the student in the comment box.
Comments:

BILLING INFORMATION

Amount Due:
$2000
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')