お支払い

Payment Amount*
Amount Due:
Amount Due*
Please describe what you are making a payment for.*
Who Are You?
Agent Contact Information
Agency Name
Name
名姓
Email
Phone
Student Contact Information
Name
名姓
Email
Phone
Cardholder Contact Information
- Cardholder Information same as Student Information
- Cardholder Information same as Agent Information
Name
名姓
Student Name*
Email*
Phone
Billing Information
Credit Card*

American Express
Discover
MasterCard
Visa
カード番号有効期限セキュリティコードクレジットカード名義人名
Billing Address*
Street Address City State / Province ZIP / Postal Code Country
Total Payment
$0.00

その他の支払方法

Paypal or Credit Card

To pay with Credit/Debit Card click on "Pay Now", then click on "Create an Account".

[wp_paypal_payment]

電信送金

For bank wire transfers, please contact us!

電信送金をご希望される場合は詳細と共にご連絡ください。振り込み料はお支払頂く必要がありますのでご注意ください。

お問い合わせ