Tuition and Program Fee Payment
Secure On-Line Submission

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Thank you for studying at
Jerusalem University College
All fields are required to be completed.

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Today's Date:   	(month/day/year)
Title:			Dr.Prof.Rev.Mr.Mrs.MissMs.
First Name:     	
Middle Initial:		
Last Name:      	
Phone Number:   	(with area code first)
E-mail Address: 	
Address line 1:		
Address line 2:		
City:			 State: Zip:

Card Type: 		
Card Number: 		
Security Code: 		 (3 digits from the back of card)
Expiration Date:	(month/year)
Amount of your payment:	
Student Account Number:	
Invoice Number:		
JUC Program Name:      	
JUC Program Start Date:	

Enter any other information in the text window:

Thank you once again for studying at JUC!

Please note:  Your payment will be processed and, if approved, will be applied to your account.  Unless the invoice number is specified, the payment will be applied to the oldest existing invoice.  You will be sent a receipt in the mail to the address you indicate and notified at the e-mail address you specify when the transaction is completed.  Sending the form does not constitute a receipt.

Instructions for Submission
 1) Please review your information before submitting.
2) Click the "submit" button only once.
3) A new screen will appear confirming what has been sent which
you may print out as a record of your submission.

If you have trouble completing or sending the form please contact
the Student Accounts Office by e-mail:

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Last updated on Thursday, February 15, 2018

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