One Time Payment | Aims Education Payments

Payment Details

*This information is required

Account Holder Full Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Student Name*

First Last

Student ID Number*

Payment Amount*

Comments

*This information is required

Email*

Phone*

Billing Address*

Same as Address

Street Address Address Line 2 City State ZIP Code

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

My Information is Correct*

I have verified and can confirm that my information is correct

Total

$0.00

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