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Student Information

Please provide or verify your name & ID below.

Student ID No or SS Number (no dashes please )*
Student First Name*
Student Last Name*

Pay To
Pay To: Univ Wisconsin Eau ClairePay Amount
Fall Registration Deposit ($100)   $

   

Fall Freshman Deposit ($100)   $

   

Fall Student Acct Pmt   $

   

Fall Study Abroad Down Payment   $

   

Spring Registration Deposit ($100)   $

   

Spring Freshman Deposit ($100)   $

   

Spring Student Acct Pmt   $

   

Spring Study Abroad Down Payment   $

   

Summer Registration Deposit ($100)   $

   

Summer Freshman Deposit ($100)   $

   

Summer Student Acct Pmt   $

   

Summer Study Abroad Down Payment   $

   

Winterim Registration Deposit ($100)   $

   

Winterim Freshman Deposit ($100)   $

   

Winterim Student Acct Pmt   $

   

Winterim Study Abroad Down Payment   $

   

Convenience Fee   $

   

Total: $  0.00


Payment Method & Account Information

Please enter your credit card information below:

Effective Payment Date 7/6/2015
E-mail Address*


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