One Time Credit Card Payment

Student Name(Required)

First Last

Student Email(Required)

Phone(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Select Workshop(Required)

Mastering Time and Planning: Thursday, April 4, 8:30 pm Eastern

Taking Control of My Anxiety: Tuesday, April 11, 8:30 pm Eastern

Let the Writing Flow: Monday, April 17, 8:30 pm Eastern

Workshop Amount(Required)

Price:

Billing Address(Required)

Same as previous

Street Address Address Line 2 City State ZIP Code

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

Would you like to cover the 3% service fee, so that 100% of your payment goes to Achieving Academic Success?(Required)

Yes, I would like to cover the service fee.

No, I do NOT want to cover the service fee.

Service Fee (3%)

$0.00

Total

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