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Payment:
Please submit payment AFTER you've received your confirmation
and student ID#. Confirmations will be sent by EMAIL and/or POSTAL
MAIL.
Non-payment will result in deregistration.
FIT Accepts VISA,
MASTERCARD, DISCOVER CARD and AMERICAN EXPRESS.
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Print this page and fax it to 212-217-3681 |
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Date: |
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Student
ID # |
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Student Last Name: |
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Student First Name: |
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Cardholder Name: |
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Phone Number: |
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Account Number: |
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Credit Card Type: |
CIRCLE ONE:
VISA
MASTERCARD
DISCOVER CARD
AMERICAN EXPRESS |
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Credit Card Expiration Date: |
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Amount Paid: |
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Authorized Signature: |
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