Wiley University - Acceptiva

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Wiley University Transportation Selection

$10

Travel to/from Marshall Bus/Train

$25

Travel to/from Shreveport

$50

Travel to/from Dallas

Billing 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: *

E-mail: *

A receipt will be e-mailed to this address.

Please email Mr. Johnson at jfjohnson@wileyc.edu with specific details about your transportation needs after payment has been made. You may also call (903) 930-4851.

Your Payment Information

Name on Card: *

Card Number: *

Security Code: *

Expiration Date: *