Auto Pay Suspend or Cancel -Upcoming Session
Customer Assignment and Electronic Funds Transfer Authorization for Stars Gymnastics LLC
410 N. Azusa Ave. Covina CA 91722   626-331-8841

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Email *
Suspension & Cancellations will begin at the beginning of the upcoming session.  Since your child has taken a spot on a class roster in the current session, she needs to finish the session.  No cancellations in the middle of a session.  
First and Last Name of Student  (One form per student) *
Parent's First and Last Name *
Do you want to Temporarily Suspend or Permanently Cancel your Auto Pay account? *
If Temporary, please list the START & END take of the suspension.
Why are you suspending or canceling your Auto Pay? *
If you marked "Other", please provide brief explanation.
A copy of your responses will be emailed to the address you provided.
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