Payment Form Payment Form First Name * Last Name * Phone * Email * Student's Name * Student's Date of Birth * Payment For: * $50 - Drive Time No Show or Late Cancellation Fee$250 - Final Balance Payment on Installment Plans$400 - Reinstatement Fee for Contracts Over One YearOther Total Amount $ A 3% processing fee will be applied to all credit and debit card transactions. Enter Amount Total Amount $ A 3% processing fee will be applied to all credit and debit card transactions. Submit If you are human, leave this field blank.