Additional Payment. Please enter student(s) first legal name*Student's last name*Untitled*Private TutoringClassMaterialsParent's Email* Enter Email Confirm Email (Please no naver or hanmail emails)Price* Please enter the amount you owe Irvine Math Academy in the above box. Confirmation:* Have you confirmed that the above entered amount is correct? Credit or Debit Card* DiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name You can use your debit or credit card to submit a payment. Billing address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Please use the address you use for credit cardChecking below indicates that my child and I agree to the following policy:* I certify that the payment submitted on this page is to cover the cost for a private tutoring lesson(s) or class(es) my son/daughter attended at Irvine Math Academy I agree that there will be NO refund or adjustments in tuition for absences due to illness or schedule conflict (No carry over for any reason or applying any credit from previous semesters). All fees paid are final. I agree that if in case a refund is issued back, it can take the chargeback up to 75 days or even a little longer. You acknowledge that Irvine Math Academy is not a dependent care facility but is a tutoring program. Irvine Math Academy does not qualify for IRS Publication 530 tax deductions. Signature*Important Notice: Please do not double click the submit button because this will cause a duplicate payment! This iframe contains the logic required to handle Ajax powered Gravity Forms.
