Summer at Smith
About Summer at Smith
Smith Precollege Programs for High School Girls
Summer Science & Engineering Program
Field Studies for Sustainable Futures
Hidden Lives: Exploring Women's History
Young Women's Writers Workshop
English Language Learning Program
Smith Coed Programs
Host Your Event at Smith
Living at Smith
Summer Calendar
Contact Us
Summer at Smith: Payment Form

Name of Student

Full Name (First, MI, Last)

Billing Information (all fields required)

First Name
Last Name
Street Address
Street Address 2 (if applicable)
City
State
Zip or Postal Code
Country
Phone
E-mail

Payment Information

I am paying for the following
(Please check all that apply)
(includes deposit)

(includes deposit)

(includes deposit)

(includes deposit)


Alternately if you need to make partial payments - please select



(Other programs)
(if deposit already paid)

(if deposit already paid)

(if deposit already paid)

(if deposit already paid)
Travel from and to Bradley Airport $50.00
Six Flags Amusement Park $25.00
New York City Bus Trip $105.00

Pay an alternate amount $ .00 (whole dollar amounts only)