Recurring Monthly Payments Parent* First Name Last Name Email Address* Phone*How many dancers are you paying for?*123Dancer 1* First Name Last Name Dancer 2* First Name Last Name Dancer 3* 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 CommentsCredit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific 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. The recurring payments will begin on the 1st of the following month after you sign up (unless you check the box below to start now and include payment for the current month. Payment will be processed the next business day if this box is checked). Payments will be stopped after the last full month payment on May 1st. The studio is now charging half of your normal tuition amount for the month of June. You will have the option to pay online through our website on the One-Time Payments page, or at the studio by June 1st. If you would like to cancel your recurring payment plan prior to May, please call the studio at 716.626.2498 or email us at [email protected]Start Now? Include payment for the current month Accept Terms* I have read and agreed to the terms above. CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
