Field Training Payment Form Email Student Information: First Name: * Last Name: * Email Address: * Card Details: Please enter the card details for the credit/debit card you'd like to use below: First Name: * Last Name: * Credit Card Number: * Expiration Date: * CVV: * Zip Code: * Please select a payment amount below: Payment For: Please Select... $1000 - Non-refundable deposit $2600 - Remaining Tuition $3600 - (Optional: Pay Full Amount) Payment Total Total: $
