Payment Verification Form

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Payment Verification Form

Please send your receipts to Dr. David Joseph (Financial Officer) at davidjoseph.hbiu@gmail.com

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* Indicates required question

First Name *

Your answer

Last Name *

Your answer

Date *

MM

/

DD

/

YYYY

What did you pay for? *

Certificate Programs

Bachelor's Degree Programs

Master's Degree Programs

Doctoral Programs

Gala Awards

Other:

Payment Method Used *

CashApp

Zelle

Givelify

Other:

Amount *

Your answer

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