AXIS 2017 Monthly Payments
AXIS 2017 Monthly Payments
DATES: May 31 - June 4, 2017
LOCATION: Colorado
If you have already registered and paid the non-refundable $100 deposit, please use this form to make additional payments. THE FULL BALANCE OF $400 MUST BE PAID BY MAY 21, 2017.
Student’s Name  * 
Name(s) of Parent(s)/Guardian(s)  * 
Phone Number of Parent(s)/Guardian(s)  * 
Your Email Address  * 
A monthly payment plan has been set up for your convenience. If you choose to make a different payment, click OTHER, then input the dollar amount in the next box.  * 
If you prefer to make a different payment than what is suggested, please note in the box the amount you wish to pay. $ 
Total $
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