What are you making payment for? If this is for team tuition, please state which month and also days attending for the month. Example: March Team Tues/Thurs *
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Amount authorized to charge *
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Credit Card number (Visa, MC, or Discover) *
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Credit Card expiration date *
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Credit Card CVV (security code on back) *
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Credit Card billing zip code *
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Name on Credit Card *
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A copy of your responses will be emailed to the address you provided.