Tuition Payments - Achievement Center of Texas

Student Name
Please tell us the name of the student for which this payment is being made.
First Last
Tuition or Fee Type*
Please select if the type of payment you are making. If you are making multiple types of fee, please select "Multiple Fees" and provide a description.
- Tuition
- Late Fee
- Multiple Fees
Tuition
Please tell us the amount of tuition you are paying.
Late Fee*
Please tell us the amount of the late fee you are paying. Disregard this field if you are not paying a late fee.
Multiple Fees*
If you are paying multiple fees, please tell us the total amount and use the "Multiple Fees" field to tell us the amount of each.
Multiple Fee Explanation*
Example: I am paying at total of $114. Tuitiion, $104 + Late Fee $10.
Total
This is the total amount of your payment.
$0.00
Payor Name*
Please provide the name of the person making this payment.
First Last
Address*
Street Address City State ZIP Code
Phone
Please provide a telephone number so we can contact you if additional information is needed.
Email*
A receipt will be sent to this email address.
Email Future Use Consent*
Please select "No" if you would not like to receive future email from us. This will not change previous choices if you are currently receiving email from us.
- Yes
- No
Additional Information
You may provide additional information regarding this payment.
Payment Type*
- Credit Card
- PayPal
Select this payment method if you want to use your PayPal account. You will be taken to the PayPal website. Please use Credit Card if not using your PayPal account.
Credit Card*
Card Details
Cardholder Name
Comments
This field is for validation purposes and should be left unchanged.