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ICNEXT 12 FIRST PAYMENT FORM (11.12.2023)

Please complete the form below. Required fields marked with an asterisk *

ICNEXT 12 CLEVELAND FIRST PAYMENT FORM

IF YOU NEED FINANCIAL AID OR A SPECIAL PAYMENT ARRANGEMENT, PLEASE CONTACT T INA KELLER ASAP.

STUDENT INFORMATION

First Name*

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Last Name*

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FIRST PAYMENT FOR ICNEXT 12*

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$300.00 - By 11.12.2023

*Payment Explanation:

$300 - First Payment

$12 - CC Fee

$0.35 - Authorization Fee

Total of $312.35

*If you would like to avoid extra charges, you can send a $300 check to the Jewish Education Center Of Cleveland at 2030 South Taylor Rd. Cleveland Heights, OH 44118.

AFTER PAYMENT, YOU WILL BE REDIRECTED TO SIGN A PROGRAM RELEASE FORM

THANKS IN ADVANCE

THE @AKIVA TEAM

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