Payment Authorization Form
MCAT KING mandates the use of a credit card on account for enrolling in tutoring or academic coaching services. Rest assured, your card information will be handled with the utmost security and confidentiality. Moreover, For Pay-As-You-Go style payments for attending our enriching workshops or classes. Keeping a card on file is necessary to avail of this payment option.
First Name
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Last Name
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Email Address
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Phone Number
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Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Name on Card
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Credit Card Type
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Please Select
Visa
MasterCard
American Express
Discover
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Sixteen Digits
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15 Digits
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CVS
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Expiration Date (mm/yy)
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Billing Zip Code
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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I hereby authorize MCAT KING Inc to charge the credit card indicated on weekly basis for tutoring session and services provided.
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify MCAT KING INC in writing (by emailing info@mcatking.com) of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. Your credit card will be charged after each session or weekly. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form.
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