Towanda Area School District : Tax Forms : Real Estate or Occupation Tax Credit Card Payments

TOWANDA AREA SCHOOL DISTRICT 4TH ANNUAL BLACK KNIGHT BASH
Purcahse Tickets to the 4th Annual Black Knight Bash
* - indicates a required field
First Name:		*
Last Name:		*
Address:		*
City:		*
State:		*
Zip Code:		*
Phone Number:		*
Email Address:		*
Number of Tickets:		*
Credit Card Information
Name on Account:		*
Address on Card:		*
Card Type:		*
Account Number:		*
Expiration Month:		*
Expiration Year:		*
Security Code:		*
Authorization Agreement for Prearranged Payments
By hitting "Submit", I hereby authorize my financial institution and Towanda Area School District to charge the account specified above for Education Foundation Payment and convenience fee as designated. This authority will only remain in effect until for the payment(s) specified above.