International Student Registration Fee

Order Information

Company name:  
Customer ID:
First name*:   Last name*:
Phone:   Alt phone:
Email:   Alt email:
Student First Name*:
Student Family Name (Surname)*:
Parent/ Guardian First Name*:
Parent/ Guardian Family Name (Surname)*:
Country of Birth*:
Grade Level*:
Diocesan School Atending*:

Payment Information

Payment amount:
Payment date:

Choose Payment Type:

Credit card accounts (optional)
Card type*:
Card number*:
CVV2 Code*:
Expiration date*:
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Set as default account:
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Credit Card

Billing Address

Address 1*:
Address 2:
ZIP/Postal Code*: Help

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Terms and Conditions

CDR Office of Catholic Education
7800 Carousel Lane
Richmond, VA 23294
(804) 622-5117

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