We need:
-Student Name-Address -Phone Number-Date of Birth-Social Security-Parent Name-Plan Deductible wanted-Routing and Account number (or card info) for monthly EFT payments (this is the ONLY payment option available)
-Student Name
-Address
-Phone Number
-Date of Birth
-Social Security
-Parent Name
-Plan Deductible wanted
-Routing and Account number (or card info) for monthly EFT payments (this is the ONLY payment option available)