Credit Card Authorization Form

Tuition can be paid in a single payment or in installments in the form of monthly post datedcheques or credit card payments. The deposit which you paid at the time of registration covers the last month (ie June or July 2021).
Cheques should be dated for the first of each month and payable to UptownChabad .
To pay by credit card please complete the form below. There will be a 3.5% processing fee applied to each credit card payment.
Parent's Name*
First NameLast Name
Sudent Name(s)*

Payment*

Credit Card

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Terms*
I authorize Uptown Chabad to charge my credit card for Gan Chabad tuition. I will promptly notify Uptown Chabad when the expiration date changes or the credit card becomes invalid. I understand that tuition will continue to be billed to my credit card monthy for the duration of my child's enrollment and that if at any time I wish to discontinue or make changes to this payment method, I must notify Uptown Chabad, by written notification. Gan Chabad Preschool withdrawal policy remains in effect.
*
I understand that a 3.5% processing fee will be applied to each payment made via credit card.
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