Enterprise Gymnastics and Cheer's Site

Recurring Credit Card Payment Authorization

You authorize regularly scheduled charges to your credit card. You will be charged the amount indicated below to your Credit Card each billing period. A receipt for each payment will be provided to you and the charge will appear on your Credit Card statement. You agree that no prior- notification will be provided unless the date or amount charges, in which case you will receive notice from us at least ten (10) days prior to the payment being collected.

Email *

Full Name *

Athletes Name *

Phone Number *

Do you authorize Enterprise Gymnastics and Cheer to charge your credit card on the 5th Day of each month? *

Cardholder Name *

What is your Credit Card type? *

Mastercard

VISA

Discover

AMEX

Billing Address *

Card Number (this is for accounting purpose, your form will be private and only accessible by our owner) *

Card Expiration *

Card CVV *

Cardholder Zipcode *

How much do you pay in monthly tuition? *

E-Signature *

I understand that this authorization will remain active until I cancel it in writing. I agree to notify Enterprise Gymnastics at least fifteen (15) days before my next billing date if I need to update my card information or cancel my auto-payment authorization.

I understand that if I fail to provide written notice at least 15 days before the next billing date, the scheduled payment will still be processed and is non-refundable.

If my billing date falls on a weekend or holiday, I understand the payment may be processed on the next business day. I certify that I am an authorized user of this card and will not dispute charges that follow the terms of this agreement.