Bayside College Payment
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Name
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Email
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Phone
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Why are you completing this form?
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Please select all that apply.
I am a Dual Enrollment Student paying for tuition or a trip.
I am a full-time Student paying a disciplinary action fine
Payment
Dual Enrollment Academic Only Site Fee ($1,000)
Dual Enrollment Academic and Practicum Site Fee ($2,000)
Dual Enrollment Site Fee Payment Plan 1/4 ($500)
Dual Enrollment Site Fee Payment Plan 2/4 ($500)
Dual Enrollment Site Fee Payment Plan 3/4 ($500)
Dual Enrollment Site Fee Payment Plan 4/4 ($500)
Progressive Discipline Fine Level 1 ($25)
Progressive Discipline Fine Level 2 ($50)
Progressive Discipline Fine Level 3 ($100)
Spring 2023-24 Dual Enrollment payment ($250)
Dual Enrollment Academic Only Site Fee ($1,000)
Dual Enrollment Academic and Practicum Site Fee ($2,000)
Dual Enrollment Site Fee Payment Plan 1/4 ($500)
Dual Enrollment Site Fee Payment Plan 2/4 ($500)
Dual Enrollment Site Fee Payment Plan 3/4 ($500)
Dual Enrollment Site Fee Payment Plan 4/4 ($500)
Progressive Discipline Fine Level 1 ($25)
Progressive Discipline Fine Level 2 ($50)
Progressive Discipline Fine Level 3 ($100)
Spring 2023-24 Dual Enrollment payment ($250)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
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MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
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SK
TN
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VA
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VT
WA
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YT
Submit
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