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Credit Card Authorization (Recurring) Form
Credit Card Authorization (Recurring) Form
Recurring Payments Authorization
I request and authorize Atlanta’s John Marshall Law School to charge my credit card according to the above information. This is not an instant payment form. If you want to make a payment directly on the website, you may do so on the Make A Payment page.
STUDENT'S Name
*
Monthly Amount
*
Date to Process
*
Payment Description
*
Semester
*
Email
*
to receive confirmation of form submission
Credit Card Information
Name on Credit Card
*
Credit Card Number
*
Card Type
*
3 or 4 Digit Security Code
*
Expiration Date
*
Signature
I authorize Atlanta’s John Marshall Law School to charge my monthly tuition payments for the amount indicated above on the dates indicated above. I understand that there may be a 3-day period as to when my card may be charged due to business operating hours, school closings, etc. I understand that this is a one-time payment and this form will not be used to authorize any additional payments. Additionally, I understand that I am responsible for all payments not authorized or approved by my credit card company or bank. By signing below, I agree to the terms of this authorizations form.
Card Holder Signature
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Please type your name as your electronic signature.
Date
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Note
This authorization expires at the end of the semester.
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