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Payment Method Form

Parent or Legal Guardian Name:

East Valley School of Music requires tuition payments to be collected automatically on the 20th of each month.

Please choose from one of the following payment methods:

Bank Account

This is our preferred payment method due to stability and lower processing fees. Client provides a bank account and routing number.

Bank Name:

Name on Account:

Routing # (9 digits):

Account #:

Account Type: CheckingSavings

Sample from bottom of check

Credit/Debit Card

Customer maintains current credit or debit card information on file. If a card is declined or expired, East Valley School of Music will contact customer. If payment issues are not resolved by the end of the month, a $25 late fee will be assessed.

Name on Card:

Card Number:

Expiration Date:

VisaMastercardAmerican ExpressDiscover

Credit/Debit Card Billing Address:

Tuition Discount Packages

As a reminder, EVSM offers Andante, Moderato, and Allegro discount tuition packages for 3-month, 6-month, and 9-month payments. There is an added 2% fee if paid by credit card. Advanced tuition payments are non-refundable, but may be transferred to an immediate family member, or put on hold in the event of discontinuing (30 days notice is required and enrollment fee must be paid again upon re-enrolling). Advanced tuition payments are also sheltered from a potential raise in tuition prices.

Please indicate if you would like to save on tuition by investing in a tuition package:

Yes

No, maybe later

If yes, please indicate student name(s) and tuition package(s) below...

Student Name (1): Tuition Package (1):

Student Name (2): Tuition Package (2):

Student Name (3): Tuition Package (3):

*Note: Tuition packages are prorated upon enrollment to cover tuition through the end of a month. (For example, your 3-month tuition package will be prorated to 2 months and 3 weeks if you begin lessons in the 2nd week of the month.)

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Your legal name

Your email address

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June 29, 2022 3:12 am MST

Payment Method Form Uploaded by Mike Kaminski - office@evsm.net IP 70.190.31.99