Monthly Credit Card Authorization

Fields that have an * are required.

Monthly Credit Card Authorization

"*" indicates required fields

This form allows Howell Dance to have your child's tuition charged to your credit card monthly through May 2024

Use this form to convert your account to automatic monthly payments by credit card.
Student's Name*
Name On The Credit Card*

Credit Card Information

Please charge monthly payments to my credit card account, below. The charge will be your for child’s tuition amount + 3.5% monthly service fee.
This field is for validation purposes and should be left unchanged.