Online Payment Forms

Ref: Agreement to Debit Credit Card

  • Date Format: MM slash DD slash YYYY
  • This agreement is between Caribbean International Academy (CIA) and Mr./Mrs.
  • for the authorization for CIA to debit Mr./Mrs.
  • (Name of Student)
  • School year tuition,
  • for the total amount of USD.
  • Tuition for the month(s)
  • for the total amount of USD
  • Tuition monthly charges of USD
  • from
  • to
  • Books for the total amount of USD
  • GRAND TOTAL AMOUNT USD TO BE CHARGED: