Howell Dance Company – Credit Card Authorization Form

Credit Card Authorization for Howell Dance Company

Fields that have an * are required.

All Diamond Dancers must fill this out, even if they are on automatic tuition debit. This also covers outstanding costume, accessory and competition fees - unless this is completed, late fees will be charged to their checking accounts.

"*" indicates required fields

Credit Holders Billing Address*
Card Type*
This field is for validation purposes and should be left unchanged.