Credit Card Authorization Form

Name As It Appears On The Card *
Name As It Appears On The Card
Cell Phone # *
Cell Phone #
Billing Address *
Billing Address
Tuition: $160 per month One Time Production Fee: $35 First time payment: $195 Monthly Tuition after that $160
$
I authorize The Acting Project a DBA of Hudson 5 LLC, to charge my credit card the agreed upon amount above. I understand that tuition is charged once a month automatically unless I cancel 15 days in advance in writing.