Automatic Payment Enrollment
Lake Area Dance Center

 

Complete and submit the following form to enroll in automatic payment to Lake Area Dance Center. American Express, Discover, Mastercard, and Visa accepted. Thank you!

* Required fields
Name *
E-mail Address *
Name On Card *
Billing Address *
Billing City, State, Zip Code *
Card Type *
Card Number (No Hyphens) *
CVV Code *
Expiration Date (MM/YY) *


Please enter the code shown above and click the 'Submit Form' button. This additional step is required to help protect against message spam.



By submission, I authorize Lake Area Dance Center, LLC to debit my American Express, Discovere, MasterCard, or Visa credit card monthly for the payment of my annual registration fee, monthly rate and costume fees. I understand there may be additional fees outside of my annual registration fee, monthly rate, and costume fees that may be processed utilizing this automatic payment plan information. These include, but are not limited accessories such as performance jewelry, hairpieces, eyelashes, tights, and shoes; recital related expenses such as t-shirts, tickets, and advertisements; and national competition rehearsal and entry fees. I understand I am also responsible for advising Lake Area Dance Center, LLC of any changes in my credit card information. I understand that I could receive notices and calls concerning my payment should my credit card company decline my credit card payment. This agreement will remain in effect through end of May 2020.

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Copyright 2019 Lake Area Dance Center, LLC. All rights reserved.