Friday, September 05, 2008

Firespark!  |  Brenau University  |  (770) 534-6741  |  fax: 6742  |   firespark@brenau.edu

Firespark Payment Form

A deposit of $100.00 is required to process your application.  The balance may be paid as soon as you are accepted and any time prior to July 5, 2008.   Brenau University accepts MasterCard, Visa and Discover.

This same form can be used to pay the balance.

Student Name * 
Email Address *  
Name on Credit Card * 
Card Type
Card Number
Expiration Month
Expiration Year
Billing Zip Code
Amount to Charge
Please enter text.

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