PRE-AUTHORIZED DEBIT AGREEMENT for Hanul Art School (Returning Student)

Hanul art school >  PRE-AUTHORIZED DEBIT AGREEMENT for Hanul Art School (Returning Student)

    CUSTOMER INFORMATION

    Parent Name:

    Student Name:

    Contact E-mail:

    Pre-AUTHORIZED DEBIT (PAD)

    I authorize the continued use of Payment Information.

    (Check Required)

    I agree to the monthly payment amount of the attached 2022-23 invoice.
    I here by authorize Hanul Art School the debiting of my account by method of Electronic Funds Transfer on the 1St day of each Month beginning of September 2022 till June 2023

    (Check Required)

    I, the payer, may revoke this authorization at any time, subject to providing 15 days notice.

    (Check Required)



    (If you wish to discontinue class, please notify us at least 15 days in advance so we can stop the payment process for the next month.)

    There will be charge for each bounced payment.
    $25 will be charged per bounced payment. ($ 25 NSF FEE) 

    (Check Required)

    Exhibition fee will be added on your February payment automatically.
    If you do not wish to participate in the exhibition, please let us know before Jan 15th.
    This is only for Art Programs but please check even if you take other programs to complete this page.

    (Check Required)

    I certify that the above is correct.

    (Check Required)

    Account holder signature


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    228 91St, Edmonton, AB, T6X 1W8