tuition deposit student informationstudent's name* first last date of birth*month123456789101112day12345678910111213141516171819202122232425262728293031year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920t-shirt sizeSMLxlxxlstudent's address* street address address line 2 city state / province / region zip / postal code afghanistanalbaniaalgeriaamerican samoaandorraangolaanguillaantarcticaantigua and barbudaargentinaarmeniaarubaaustraliaaustriaazerbaijanbahamasbahrainbangladeshbarbadosbelarusbelgiumbelizebeninbermudabhutanboliviabonaire, sint eustatius and sababosnia and herzegovinabotswanabouvet islandbrazilbritish indian ocean territorybrunei darussalambulgariaburkina fasoburundicambodiacamerooncanadacape verdecayman islandscentral african republicchadchilechinachristmas islandcocos islandscolombiacomoroscongo, democratic republic of thecongo, republic of thecook islandscosta ricacroatiacubacuraçaocyprusczech republiccôte d'ivoiredenmarkdjiboutidominicadominican republicecuadoregyptel salvadorequatorial guineaeritreaestoniaeswatini (swaziland)ethiopiafalkland islandsfaroe islandsfijifinlandfrancefrench guianafrench polynesiafrench southern territoriesgabongambiageorgiagermanyghanagibraltargreecegreenlandgrenadaguadeloupeguamguatemalaguernseyguineaguinea-bissauguyanahaitiheard and mcdonald islandsholy seehondurashong konghungaryicelandindiaindonesiairaniraqirelandisle of manisraelitalyjamaicajapanjerseyjordankazakhstankenyakiribatikuwaitkyrgyzstanlao people's democratic republiclatvialebanonlesotholiberialibyaliechtensteinlithuanialuxembourgmacaumacedoniamadagascarmalawimalaysiamaldivesmalimaltamarshall islandsmartiniquemauritaniamauritiusmayottemexicomicronesiamoldovamonacomongoliamontenegromontserratmoroccomozambiquemyanmarnamibianaurunepalnetherlandsnew caledonianew zealandnicaraguanigernigerianiuenorfolk islandnorth koreanorthern mariana islandsnorwayomanpakistanpalaupalestine, state ofpanamapapua new guineaparaguayperuphilippinespitcairnpolandportugalpuerto ricoqatarromaniarussiarwandaréunionsaint barthélemysaint helenasaint kitts and nevissaint luciasaint martinsaint pierre and miquelonsaint vincent and the grenadinessamoasan marinosao tome and principesaudi arabiasenegalserbiaseychellessierra leonesingaporesint maartenslovakiasloveniasolomon islandssomaliasouth africasouth georgiasouth koreasouth sudanspainsri lankasudansurinamesvalbard and jan mayen islandsswedenswitzerlandsyriataiwantajikistantanzaniathailandtimor-lestetogotokelautongatrinidad and tobagotunisiaturkeyturkmenistanturks and caicos islandstuvaluus minor outlying islandsugandaukraineunited arab emiratesunited kingdomunited statesuruguayuzbekistanvanuatuvenezuelavietnamvirgin islands, britishvirgin islands, u.s.wallis and futunawestern saharayemenzambiazimbabweåland islands country home/mobile phone*student's email* enter email confirm email starting semester*fallspringsummerstarting year*specify this calendar year or the next year.enrollment type*traditional enrollment (freshman or transfer day students)master's program enrollmentprofessional studies (part-time students)note: tuition deposit is non-refundable.traditional enrollment: $200.00master's program enrollment: $200.00professional studies enrollment: $50.00 total $0.00 credit card* discovermastercardvisa card number month010203040506070809101112 year20202021202220232024202520262027202820292030203120322033203420352036203720382039 expiration date security code cardholder name cardholder address* street address address line 2 city state / province / region zip / postal code afghanistanalbaniaalgeriaamerican samoaandorraangolaanguillaantarcticaantigua and barbudaargentinaarmeniaarubaaustraliaaustriaazerbaijanbahamasbahrainbangladeshbarbadosbelarusbelgiumbelizebeninbermudabhutanboliviabonaire, sint eustatius and sababosnia and herzegovinabotswanabouvet islandbrazilbritish indian ocean territorybrunei darussalambulgariaburkina fasoburundicambodiacamerooncanadacape verdecayman islandscentral african republicchadchilechinachristmas islandcocos islandscolombiacomoroscongo, democratic republic of thecongo, republic of thecook islandscosta ricacroatiacubacuraçaocyprusczech republiccôte d'ivoiredenmarkdjiboutidominicadominican republicecuadoregyptel salvadorequatorial guineaeritreaestoniaeswatini (swaziland)ethiopiafalkland islandsfaroe islandsfijifinlandfrancefrench guianafrench polynesiafrench southern territoriesgabongambiageorgiagermanyghanagibraltargreecegreenlandgrenadaguadeloupeguamguatemalaguernseyguineaguinea-bissauguyanahaitiheard and mcdonald islandsholy seehondurashong konghungaryicelandindiaindonesiairaniraqirelandisle of manisraelitalyjamaicajapanjerseyjordankazakhstankenyakiribatikuwaitkyrgyzstanlao people's democratic republiclatvialebanonlesotholiberialibyaliechtensteinlithuanialuxembourgmacaumacedoniamadagascarmalawimalaysiamaldivesmalimaltamarshall islandsmartiniquemauritaniamauritiusmayottemexicomicronesiamoldovamonacomongoliamontenegromontserratmoroccomozambiquemyanmarnamibianaurunepalnetherlandsnew caledonianew zealandnicaraguanigernigerianiuenorfolk islandnorth koreanorthern mariana islandsnorwayomanpakistanpalaupalestine, state ofpanamapapua new guineaparaguayperuphilippinespitcairnpolandportugalpuerto ricoqatarromaniarussiarwandaréunionsaint barthélemysaint helenasaint kitts and nevissaint luciasaint martinsaint pierre and miquelonsaint vincent and the grenadinessamoasan marinosao tome and principesaudi arabiasenegalserbiaseychellessierra leonesingaporesint maartenslovakiasloveniasolomon islandssomaliasouth africasouth georgiasouth koreasouth sudanspainsri lankasudansurinamesvalbard and jan mayen islandsswedenswitzerlandsyriataiwantajikistantanzaniathailandtimor-lestetogotokelautongatrinidad and tobagotunisiaturkeyturkmenistanturks and caicos islandstuvaluus minor outlying islandsugandaukraineunited arab emiratesunited kingdomunited statesuruguayuzbekistanvanuatuvenezuelavietnamvirgin islands, britishvirgin islands, u.s.wallis and futunawestern saharayemenzambiazimbabweåland islands country cardholder's email* enter email confirm email cardholder's phone*permission to use data* i understand that by submitting this form i am granting barton college permission to process my personal data and to contact me with information relevant to the services or opportunities offered, either directly or indirectly, through barton college. namethis field is for validation purposes and should be left unchanged.