High School Study Abroad & Spanish Immersion Programs
STUDENT INFORMATION

  • Full Name *

BILLING & PAYEE INFORMATION

  • Full Name *

BILLING ADDRESS
PAYMENT INFORMATION
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CONTRACT & POLICY
  • You are about to request a payment be made electronically. You must agree to the following.
  • 1) Credit card transactions are processed by Authorized Credit Card Systems. Your statement will reference "Sol Abroad" as the payee. Authorized Credit Card Systems charges a payment processing fee for all payments made through their service.
  • 2) I authorize a charge to the above specified account
  • 3) Should this transaction fail for any reason (including invalid account numbers, chargeback, etc.) I understand that additional penalties, fees and interest may accrue.
  • 4) By completing and submitting this form, I affirm that:

    - I have read, understand and agree to be bound to the terms of this agreement
    - I am authorized to perform this transaction by the legal party to the debt(s)
    - I am authorized to perform transactions using the card information provided

  •   Certify (By submitting this form, I certify, under penalty of law, that the information provided is correct -and- that I accept the terms of this agreement as presented in the contract.)