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Virginia Wesleyan University

Evening and Weekend Student $100.00 Enrollment Fee
.
* Student Name:
* VWU Student ID:
* Student Date of Birth: / /
* Student Address:
* City:
* State:
* Zip Code:
* Student Phone Number: - -
* Email Address:

Please Note: The Enrollment Fee is non-refundable.

 
*Payment Amount
 . 
Payment Options:
 
 
 
 Debit Card
Visa Debit
 
 Debit Card
MasterCard Debit
 
 E-Check
E-Check
 
 Credit Card
Visa Discover Network MasterCard
 


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