Authorize tuition To Be taken out of your checking account monthly
Howell Dance Company 9/2024 – 5/2025

You must upload a photo of a Voided Check at the end of this form.

Fields that have an * are required.

  • Checking Account Information

    Please debit payments from my checking account, below.
  • Valid Routing # must start with 0, 1, 2, or 3
  • Max. file size: 50 MB.
  • This field is for validation purposes and should be left unchanged.