Pre-College Payment Form

Welcome to MIAD's Summer Pre-College program! Please use this form to complete your tuition payment.

Student Information
Student Name*
First Last
Student Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email*
Payment Information
Billing Name*
First Last
Please enter the name of the party making the payment.
Billing Address
- Same as Above
This should match the information on the credit or debit statement
*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Information
Additional Information
Use this space to enter comments, refer to correspondence, describe special situations, etc.
Payment Amount
Payment Amount*

Please note that some cards, especially debit cards, may have a daily transaction limit. If your transaction is declined despite having sufficient funds, please contact your financial institution.
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.

IMPORTANT INFORMATION

START YOUR FAFSA for the 2021-22 academic year at studentaid.gov

Use MIAD's FAFSA code: 014203

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Student Information