Intensive English Program

The University of Mississippi – Office of Global Engagement

This form is ONLY suitable for US-issued bank cards.

Note: The IEP Application Fee is non-refundable. If you fail to attend the program during the semester/session you apply for, this fee cannot be refunded.


Fee Payment Form

Payment on Behalf of (Full Name):

When did you complete the IEP Application Form?

Applicant's Email:

Name on Card:

Card Number:

Expiration Date:

Billing Zip Code (Postal Code):

Visa or Mastercard? VisaMastercard

Fee to Pay:

Notes/Other Amount:

By clicking "Submit" below, I agree that I am the person whose name appears on the credit card information above, and that I agree to pay thenon-refundable IEP Application Fee (or other charge as specified).

I agree

Note: If the information on this form does not match the information on the IEP Application Form, the Application Fee will not be processed.

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