TYPE OF PAYMENT:
I authorized Las Positas College to charge my credit card for the following amount: $
PRINT THIS FORM & SIGN.
Student's Signature: Date:
Date of Request:
Student ID or Social Security Number:
Other name or alias:
City, State, Zip:
NOTICE: Online payment is temporary down due
to upgrade. Please fill out this form for payment
and send it to :
Your payment will be processed within 24 or 48
hours and admissions will mail a receipt to you.
Temporary Payment Option - Payment Form for Tuition
Campus Hill Drive
Livermore, CA 94551
Tel: (925) 424-1500
Fax: (925) 606-6437
Office of Admissions and Records
PLEASE TYPE OR PRINT LEGIBLY.
click to sign
click to edit