CELI Class Payment

Warning!

This form cannot be submitted until an administrator completes the setup process to receive online payments.

Name

This address will receive a confirmation email

Phone

Address

Class I am paying for:

Enter payment amount (credit card form will then appear)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Pay for your Cornerstone English Language Institute class with this form.
Please fill it out, then click Submit at the bottom.