Make a Payment – Brescia University

Payment Information

Payment Reason*

If "Other Payments," please describe purpose in Comments box at the bottom of the page.

Frequency*

One-time Payment
Monthly Recurring

Note: To request payment plan, go to Student Accounts and complete/submit Payment Plan form. Recurring payments without approval may result in late charges.

Number of Payments*

Payment Amount*

Convenience Fee (1.25%)

Price: $0.00

Total

$0.00

Student Information

Student Name*

First Last

Last 4 Digits of SSN

Billing Information

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Payment Method

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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Additional Information

Comments

Name

This field is for validation purposes and should be left unchanged.