BrainHub Learning Centre Debit/Credit Card Authorization Form
Please complete the form below for BrainHub to process your installment payments.
Expiration Date (mm/yy)
CVV (digits on the back of card)
Please select your child's class(es):
Writing (Wednesday 5pm)
Culinary Arts (Wednesday 4pm)
Art (Wednesday 5pm)
STEAM Adventures (Thursday 4pm)
Spanish 1 (Wednesday 4pm)
Spanish 2 (Wednesday 5pm)
Spanish 3 (Thursday 5pm)
Piano (Monday 5pm)
I authorize BrainHub Learning Centre to process this card for the agreed services based on the payment schedule provided.
Yes, I authorize these transactions.
A copy of your responses will be emailed to the address you provided.
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