Student Payments FacebookThis field is for validation purposes and should be left unchanged.Payment To Be Made Today ($)* Payment Frequency*Select "One-Time" if you chose to make a payment ONCE. Select "Recurring Payments" if you want to AUTOMATICALLY have your payment made every 30 days. One-Time Payment Automatic Monthly - Recurring Payments Student ID*Campus Location*Please select campus here51 - Arlington52 - Hurst53 - Fort Worth54 - Dallas55 - North Dallas56 - San Antonio57 - Denton58 - S. Houston/Stafford59 - N. Houston/Willowbrook60 - Atlanta Lee + WhiteThis field is hidden when viewing the formName* First Last Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Student Name Phone*Email* Address** Please note: the address fields below needs to be populated with the address associated with the credit card Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code