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UES Graduation Banquet Payment Form



Payment Info

First Name:
Last Name:
Billing Address 1:
Billing Address 2:
City:
State:
Zip Code:
Phone Number:
Email:
Payment Type:


Additional Info

Guests:
 x $15 each
Total Amount Due: $
0
  

IMPORTANT FOR CREDIT CARD PAYMENTS: After clicking the submit button, it is necessary to continue through the next 3 pages beyond "The Confirmation of Payment" page, until you are returned to the Transaction Results page. This will ensure that the transaction is complete.