Wiley University - Acceptiva

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 Amia Richardson at wileyuniversity.studentbilling@gmail.com with specific details about your transportation needs after payment has been made. You may also call (903) 927-3207.