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Off-Campus Education Programs
Application Fee Payment Form
Please use this section to pay your $50 non-refundable application fee.
$50.00 application fee payment method?
Credit Card
Please make checks payable to: Concordia University Texas
Mail to:
Concordia University Texas
11400 Concordia University Drive
Austin, Texas 78726
Credit Card Payment Information
Name of Student
*
Cardholder First Name
*
Cardholder Last Name
*
Billing Street Address
*
City
*
State
*
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
*
Cardholder Telephone Number
*
Amount
*
$50.00 Application Fee
Note: This payment is being collected by
K-12 Teachers Alliance
, and will appear as such on your statement.