Brummana High School - Payment/Donation
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Payment
Reason for payment
*
Bursary Fund
Teachers and Support Staff Fund
Capital Fund
Unrestricted Donation
Transcript fees
Application Fees
Other, please specify
Please specify the amount of money you wish to pay (USD)
*
Personal details
First name
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Last name
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Institution
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Phone Number
*
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For security reasons, we may call to confirm information provided.
Email Address
*
If possible, please use a private service provider email address in preference to a webmail address such as Yahoo, Hotmail, or Gmail. This will allow us to process your payment more easily.
Full Address
*
Relationship to the School
*
Old Scholar
Parent
Quaker
Staff
Governor/Trustee
Other
Credit Card Billing Information
Issuing Bank
*
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name of the bank / institution
which issued your credit card. This information is usually found on the back of the credit card.
Country of issue
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Algeria
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Portugal
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South Korea
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City / State
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