Recurring Monthly Payments | Sherry Martin Dance

Parent*

First Name Last Name

Email Address*

Phone*

How many dancers are you paying for?*

1
2
3
4

Dancer 1*

First Name Last Name

Dancer 2*

First Name Last Name

Dancer 3*

First Name Last Name

Dancer 4*

First Name Last Name

Recurring Monthly Payment Amount*

Please read our Terms of Service below for automatic recurring monthly payments.

Processing Fee

$3.00

Total

$0.00

Comments

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing Address*

Street Address Address Line 2 City State ZIP Code

Sherry Martin Dance Terms of Service

By checking the box below, you confirm that you have read and understood all Sherry Martin Dance information, policies, and pricing located on this website (read HERE).

You are giving Sherry Martin Dance permission to charge your card automatically once per month in the amount specified in the Recurring Monthly Payment amount box above. Your first payment will be processed the next business day after this form is submitted and will be charged on the 1st of each month. Payments will be stopped after the last full month payment on May 1st. The studio will charge half of your normal tuition amount for the month of June. A link will be emailed to you prior to June 1st to make your June tuition payment. If you would like to change your recurring payment plan prior to May, please email the studio at [email protected] If classes go virtual due to COVID-19, please note tuition pricing will remain the same.

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I have read and agreed to the terms above.

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