Credit Card Payment

Card Type

Select the correct Credit Card type.

PharmCAS accepts the following credit card types:

  • Visa
  • MasterCard
  • American Express
Exact Name on Card

Enter the name of the cardholder exactly as it appears on the card

Card Number

Enter the entire credit card number. Do not enter any spaces or dashes between any of the numbers.

Expiration Month

Select the month that the card expires.

Expiration Year

Select the year that the card expires.

Street

Enter the street address of the billing address for the credit card.

City

Enter the City of the billing address for the credit card.

State

Enter the State of the billing address for the credit card.

Zip

Enter the zip code of the billing address for the credit card.

Designations

This field presents the total number of Pharmacy School designations to which you’re applying

Total Fee

This is the total amount that will be charged to the credit card.



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