DPT Program Deposit

$1,000.00

IWU Student ID (if known)

Student First Name*

Student Last Name*

Date of Birth*

Permanent Address*

City*

State*

ZIP Code*

Country*

Phone*

() -

Email*

More Details

Doctorate of Physical Therapy (DPT) Deposit

Please provide information to the right. (Enter IWU Student ID if known, otherwise leave blank)

* A 2.45% Service Fee will be charged by our service provider for all debit/credit card transactions. Service Fee is non-refundable.

* There is no fee charged if paying with checking/savings account.