University of St. Francis

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Welcome to the St. Francis Summer Strings payment page. Students must have previous playing experience and must provide their own instruments. Please note, if enrollment numbers are not sufficient by June 1, the camp will be cancelled and the fees will be reimbursed.
All classes will take place at USF’s Moser Performing Arts Center.

Qty

Description

Amount

Total

Summer Camp Fee (3120-7004)

$299.00

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per student

Optional Weekly Private Lessons (2 total) (3120-7004)

$50.00

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per student

Total: $0.00

Student Information

Student First Name: *

Student Last Name: *

Birthday: *

School (Fall '17): *

Grade (Fall ‘17): *

Student Address: *

City: *

State: *

Zip Code: *

Phone Number:

Email: *

Instrument: *

Number of years you have played this instrument: *

Do you take private lessons? *

Private teacher name:

(other than school teacher)

Recent piece you've played on this instrument? *

(solo or in school orchestra)

Elective: *

Parent Name: *

Emergency Contact: *

Emergency Contact Phone Number: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

(xxx-xxx-xxxx)

E-mail: *

A receipt will be e-mailed to this address.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *

Name on Account: *

Routing Number: *

Account Number: *