Automatic Payment Consent

I hereby authorize Portland School of Music & Dance, Inc. to charge my account in the amount of $154 on the 22nd day of March, April, and May 2017. I understand that all automatic payments will stop after May 23rd, 2017, unless otherwise reinstated. I will give a 30-day written notice to discontinue these charges prior to the dates above. I understand that all automatic payments will stop after the 30-day period.

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