PaymentMake a Payment"*" indicates required fieldsStudent's Name* First Last Student's Email (used for Registration)* Payment confirmation will be sent to this addressSelect Payment* $100 Registration Fee(Enrollment Not Guaranteed) $200 DepositPay Deposit now and the balance two weeks prior to class. (Guarantees Preliminary Enrollment) $500 DepositPay Deposit now and pay the remaining balance by means of loan. (Guarantees Preliminary Enrollment) Custom AmountThis field is hidden when viewing the formDeposit FlagThis field is hidden when viewing the formRegistration Fee FlagCustom Payment Amount* Total Credit Card*Card Details Cardholder Name