Authorization Agreement for Payment
Payments are recurring and are deducted on the first of each month until a withdrawal form is submitted to the Greenwich Arts Academy office. Withdrawals are due by the 21st of your final month to prevent charges on the following month.
If paying by card, please enter your payment info below:
Billing Address (if different from Home Address):
(I/We) do hereby authorize Greenwich Arts Academy LLC, hereinafter named the COMPANY, to initiate recurring (debit or credit) entries to (my/our) Credit Card Account or Checking Account as indicated and named below as the depository financial institutions, hereafter named FINANCIAL INSTITUTION. (I/We) acknowledge that the origination of ACH transactions to (my/our) account must comply with the provisions of U.S. law. Furthermore, if any such debit(s) should be returned NSF, (I/we) authorize the COMPANY to collect such debit(s) by electronic debit and subsequently collect a returned debit NSF fee of $25.00 per item by electronic debit from my account identified below, and authorize all of the above as evidenced by my signature below. This authorization is to remain in full force and effect until the COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford the COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it. I have read and understand Greenwich Arts Academy’s policies and procedures and payment authorization agreement and agree to abide by them.
You will NOT be charged until your student's lesson time is finalized.