Athena's Specialized Receipt Form

Families paying via PayPal, credit, or debit card automatically receive
a receipt from the PayPal interface.

Please fill out this form if a specialized receipt is needed.

This form includes a non-refundable $5.00 processing fee.

Before filling out this form, please gather your PayPal receipts and the course descriptions of the courses:

Indicate the organization reflected on this receipt: *
0/255 characters

Specialized Receipts will also include the following:
*Our Company Name
*Our Company Address
*Our Contact Information including Admin. Signature
*The indication that the courses are Paid in Full
Terms and Conditions: Indicate your agreement by clicking the button below. *
Electronic Signature

Please electronically sign this document, indicating your agreement to the condition stated above. *
Non-Refundable Specialized Receipt Fee *
Current Total: