Modern Payment Form

Summary

Date Customer ID Invoice Number Total Cost of Program Total Balance Due

Terms of Service

I agree to pay Close Up a nonrefundable and nontransferable planning and booking deposit for the Close Up Program when I register and the entire remaining balance no later than 45 calendar days before the program start date ("final payment date"). Early Bird deposits are also nonrefundable and nontransferable. For this purpose, I understand that Close Up must actually receive my payment in full by that date. If I or my school chooses to cancel participation on or after the final payment date, no refund will be issued for any payments. If I or my school chooses to reschedule the selected program week, I agree to pay all incremental charges incurred in rescheduling and re-booking activities for my participation. Close Up welcomes enrollments at any time. However, if I enroll after the deposit deadline, I agree to pay any additional airline charges Close Up might incur, if there are any. I understand, however, that registration for a program within 45 calendar days of its start date requires nonrefundable full payment at the time of registration.

I agree to the terms of service

Tax Deductible Donation

Would you like to donate $25 to the inaugural America in One Room: The Youth Vote, a historic gathering of first-time voters to deliberate key policy issues and listen to other perspectives?

Yes, I want to make a $25 non-refundable tax-deductible donation to America in One Room: The Youth Vote.

Contact Information

Contact Name Contact Phone Contact Email Related School/Group

Payment Information

Payment Type

Credit Card eCheck ACH

Payment Amount Donation Amount

Convenience Fee To cover the cost of card processing, all credit card payments will include a convenience fee, which is no more than our cost to process this payment.

Grand Total Amount

Secure Payments

Summary

Terms of Service

Tax Deductible Donation

Contact Information

Payment Information

Credit Card Information

eCheck Information