Auto Recurrent Credit Card form

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Email *

By checking this box I authorize regularly scheduled payments to be made. The payments will be made automatically every other month. Proof of payment will appear on your account. I will receive an email notification that payment is processed. The authority I give to automatically charge my credit card will remain in effect until I notify you in writing to terminate the authorization. If for whatever reason payments cannot be processed, my account balance remains overdue and my child's enrollment in classes will be cancelled. TUITION WILL BE CHARGED ON THE 1ST OF THE MONTH *

I Agree

Required

By checking this box I authorize Dance Central performing arts to initiate electronic payments for the balances due on my Dance Central performing arts account. I understand that payments will be automatically made throughout the year for any balance due on my account. I understand that the payment amounts may vary as classes are added/dropped and as other charges/payments are applied to my account. *

I Agree

Required

By checking this box I agree that a $25 late fee will automatically be added to the tuition amount of those accounts with an inactive or declined card. In the event payment under this agreement is not made at the time and in the manner required, you agree to pay all cost of collection, including court cost, attorney fees, including charges and collection agency fee which would be 35% of the balance assigned, with or without suit. *

I Agree

Required

Please charge my card for the following items

TUITION

Please charge my card for the following items

COSTUME DEPOSIT ($50 PER CLASS, NOVEMBER 1ST 2021)

Please charge my card for the following items

COSTUME BALANCE (INVOICES SENT OUT MARCH, BALANCE RUN APRIL 1)

Please charge my card for the following items

SUMMER TUITION