Payment Update Date MM slash DD slash YYYY Dancer's Name Email Billing Name Billing Address City, State, Zip Payment MethodChoose account type below to continue.Account type:Account Type:Credit/debitBank accountCard Type:Card Type:VisaMasterCardDiscoverAmexCard Number Exp CVV Routing Number: Account Number: Payment UseIndicate payment use in the dropdown below.Please select:*Please select:One-time chargeUpdate on fileElectronic SignatureBilling ConsentBy electronically signing below, I authorize Seven Hills Dance Studio to use the method above as indicated. Tuition is charged on the 10th of each month from Sept - May. For Company team members, visit Company website page for fee schedule. NOTE: We are required to purchase an SSL Certificate every year as part of the requirement for secure online transactions. Your payment and personal information is always safe. Secure Sockets Layer (SSL) software is the industry standard and among the best software available today for secure commerce transactions. It encrypts all of your personal information, including credit card number, name, and address, so that it cannot be read over the internet. NotesCAPTCHA