Payment for Tutor Session - Summer 2013

Tutor Session Payment Form

*** First log into your BuffTutor account to automatically update your records with this payment. Otherwise, it may take up to 24hrs to post to your account ***

Please use this form to PREPAY for one or more tutoring hours by:

PayPal or Credit/Debit Card (PayPal account is not required): Follow ALL the steps on our website and on Paypal's to complete the payment. You will receive a confirmation e-mail from us and PayPal when the transaction is successfully processed. A small processing fee will be added to all online payments.

Cash or Check: First submit this form, then Checks may be sent in the mail, or Cash/Check payments may be deposited at an Elevations Credit Union branch (there is one located on the CU Boulder Campus in the UMC). Further instructions will be presented after you submit this form.

All unused prepaid hours will be refunded after your last tutor session.

Student's First Name *
Student's Last Name *
Phone *
Email *
Payment Amount *
A small processing fee will be added to all online payments. If you are paying by Cash or Check, please ignore the added fee.
Payment method *	Paypal Offline Payment (Cash/Check)
Credit Card Number*
Expiration Date*	/
Card (CVV) Code*
Card Type*
Card Holder Name*
Bank ABA Routing Number*
Bank Account Number*
Bank Account Type*
Bank Name*
Account Holder Name*