General Payments: Northern Lakes College

General Payments

Please specify whether or not you are a student making a payment or customer:

I am a: *

Student Info

Student Number *

Student Name *

Invoice Number(s)

What is this payment for? *

Please describe which fees you will be paying for (e.g Commitment Fee, Tuition, LRF, SAFEE, Books, etc.) *

Please provide any additional information relating to your payment

Payment Amount *

Customer Number *

Customer Name *

Invoice Number(s) *

Please provide information on what you are paying for:

Payment Amount *

Name *

Same as provided above:

Phone *

Email *

Please enter the adddress of your credit card.

Apartment / Unit Number

Street Number *

Street Name *

City

Province / State

Postal Code *

Country *

Payment Method *

Card Number *

Expiry *

CVV * [?]