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Home
Instructors
ACH Form
Credit/Debit Payment Form
Camps & Classes
Online Store

Automatic Payment Form (Credit Card or Debit Card)

Name On Card *

First

Last

Childs Name *

First

Last

Which coach are you with? *

Checkboxes *

are you at Dickinson
are you at Pearland

Credit Card information *

Updating Credit Card/Debit Card
New Credit Card /Debt Card
Updating address
Updating declined Credit Card/Debt Card

Address *

City *

State *

Zip Code *

Phone # *

Email *

Card Number *

Expiration Date *

Security Code *

Signature *

Date *

Notice to terminate lessons must be given (15) days prior to contract renewal or contract will automatically renew (Notice must be sent to info@hardballacademy.com) *

I Agree

I am authorizing my card to be charged for services and for any balances that are due *

I Agree

For all credit/debit card transactions there is an automatic 3% processing fee *

I Agree

Email