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    This document is an authorization form for credit card payments for educational services from Virtual High School of Excellence. It requests the name and credit card details of the cardholder, along with their billing address. It also asks for the grade level and type of program the student is seeking, whether they need an official transcript, and if they need the courses to be NCAA compliant. The cardholder must sign and date to authorize Virtual High School of Excellence to charge their credit card.

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    This document is an authorization form for credit card payments for educational services from Virtual High School of Excellence. It requests the name and credit card details of the cardholder, along with their billing address. It also asks for the grade level and type of program the student is seeking, whether they need an official transcript, and if they need the courses to be NCAA compliant. The cardholder must sign and date to authorize Virtual High School of Excellence to charge their credit card.

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    Attribution Non-Commercial (BY-NC)
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    8 views1 page

    Vhse Authorization

    Uploaded by

    virtualhse
    This document is an authorization form for credit card payments for educational services from Virtual High School of Excellence. It requests the name and credit card details of the cardholder, along with their billing address. It also asks for the grade level and type of program the student is seeking, whether they need an official transcript, and if they need the courses to be NCAA compliant. The cardholder must sign and date to authorize Virtual High School of Excellence to charge their credit card.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    3111 Fo rtune Way | Suite B-16 | Wellington | Florida | 33414 Toll Free: 1.800.890.6269 | Main: 561.537.5501 | Fax: 1.866.230.

    0259 http://www.virtualhse.com

    Authorization Form Credit Card


    Name on Card: Credit Card Type: Credit Card Number: ________-________-________-________ Expiration Date: ______/______ CVV: _________ Billing Address:
    Street Address Apt#

    City

    State

    Zip Code

    Pay In Full

    Monthly Payments Date of each month to charge credit card:

    (MM )

    (DD)

    (YY)

    Grade Level Entering: Program Seeking: Online Full Time (5.5 to 6 credits) Online Part Time (2-4 credits) HSEQ Individual Courses Correspondence Official Transcript $10.00 No _________

    Are you seeking NCAA compliance Yes ________

    I have read and agree to the terms and conditions. I am the holder of the card/checking account and I authorize the charges for School Education delivered by Virtual High School of Excellence, LLC.

    Authorized Signature: __________________________________________ Date: _____/______/__________

    2007 Forest Trail Academy, LLC d/b/a Virtual High School of Excellence | Forest Trail Acade my, LLC d/b/a Forest Trail Acade my

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