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Credit Card Information

Click here to print the form, fill out & fax to 239-649-1862.

Customer Name:
Amount of Payment: USD for the following items.

SEVIS I-20 Document shipping cost (based on current rates), plus an Application Fee of $500.00 ($200.00 Admissions Fee, non-refundable and $300.00 Security Deposit which will be applied towards your training Program at completion).

By signing below I give RexAir Flight School permission to charge my credit card for the above amount in U.S. Dollars.  I also agree to waive any charge-back rights and in the event of a dispute, requests for a refund must be submitted in writing to RexAir Flight School for approval.