Private Voice Lessons Payment and Autopay [bt_section][bt_row][bt_column width=”1/1″][bt_text] Private Voice Lessons Payment and Auto Pay Enrollment Parent/Guardian Name* First Last Name of student(s):*If multiple, enter each student separated with a comma.Amount Paid*Enter the amount you wish to pay now. This is typically used to pay for lessons given before auto payment begins. Payment authorization.*I authorize the Center Stage Academy of the Arts to Charge the amount shown above.Auto Pay Enrollment*I authorize Center Stage Academy of the Arts to charge $80.00 per student on the 5th of each month, using the billing information provided below. Sibling discounts will be automatically applied.Signed*Provide a digital signature by entering your name below: First Last Phone*Email Address*For receipt Debit/Credit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Security Code Cardholder Name CAPTCHA [/bt_text][/bt_column][/bt_row][/bt_section]
