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Future Students Paul Smith's College

Admissions Confirmation Deposit

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Please fill out the following form. All fields are required; we cannot process your request unless all fields are properly filled out.

Student Name :
Social Security Number :   Ex. 456892345
Intended Major :
Type of Card :
V Code (if Visa Card) :   on back of Visa Card
Credit Card Number  :   Ex: 1234567891234567
Expiration Date  : Month:      Year:
Name on Credit Card  :
Your Email Address  :
Amount to be Charged ($2000.00 for International Students)  :   
                 the above amount be charged to my credit card.
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