Credit / Debit Card Authorization

Credit / Debit Authorization Form

Student's Name and Course *

Card Type *

Card Number *

Expiration Date (XX/XX) and CVC # (3 or 4 digits on back of card) *

Cardholders Name, Address, Phone, Email *

I hereby authorize Final Act Drama LLC to charge my credit / Debit card for the agreed monthly payment for classes, courses, or camps as determined by the registration form from the course the student is registered as well as any bank fees, late fees, or any other charges incurred by participating in programs with Final Act Drama, LLC. Payments are process on the first business day of the month.

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Credit / Debit Authorization Form

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