Payment Portal – Wyatt Institute of Real Estate

Complete and submit the form below to make payment to your class

* indicates REQUIRED fields below

Student Information:

First Name:* Last Name:* Telephone Number: Email Address:*

Attending Which Course:
Student Course ID:*
*Student Course ID ~ should be provided in an email sent to you (likely begins with 39###) - call office if needed

Payment Information:

AMOUNT to charge: * $«« not to exceed balance of class
CHARGE to Credit Card: *«« VISA or MasterCard ONLY
Card #: *
3-digit security code: * Expiration Date (MM/YY): *
Name on Card: * Billing Address Number (used to process credit card): * Billing Zip Code: *

Acceptance of one-time charge:*

Yes*, I authorize a one-time charge to credit card provided in the amount that I entered in the "AMOUNT to charge."
Email receipt once payment has been processed. (optional)

Enter any comments or questions here (optional):