Payment | Orcas Christian School

Use the short form below to make a one time payment, or to setup auto-billed monthly payments to Orcas Christian School. If you have any questions or concerns, please feel free to email us at info@lja.ipd.mybluehost.me. You may also download a PDF of the payment authorization form.

Name on Account *

Phone *

Email *

Address on Account *

Address on Account

Address Line 1

Address Line 2

City

State/Province

Zip/Postal

Country

Payment Type *

One-Time Credit Card

Monthly Credit Card

Bank Account

Dollar Amount ($) *

Type of Account *

Account No. *

Account Branch *

Account Type Credited To *

Account No. Credited To *

Payment Frequency *

Requested Charge Date *

Payment Notes *

BY THIS AGREEMENT, Orcas Christian School Corporation is authorized to charge the credit card for the amount noted on this form, for services noted in the Orcas Christian School agreeement.

Authorization Agreement *

By checking this box, I give Orcas Christian School the authority to charge my bank account the amount above, at the frequency above until further notice.

Does this revoke any prior authorization? *

Yes

No

reCAPTCHA