Automatic Payment Consent

I hereby authorize Portland School of Music & Dance, Inc. to charge my account in the amount of $304 on the 22nd day of each month, beginning September 22nd, 2016, which will cover tuition for the month of October (and the Oct 22, 2016 payment covers the month of November, etc.). I will give a 30-day written notice to discontinue these charges. I understand that all automatic payments will stop after the 30-day period.

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