Automatic Payment Form (Credit Card or Debit Card) Name On Card *FirstLastAddress *City, State, Zip *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 AgreeFor all credit/debit card transactions there is an automatic 3% processing fee *I AgreeNameSubmit
