Monthly Payment Change Form

First Name *

Last name *

New monthly payment amount *

Is your main monthly payment (on the 1st day of each month) for 1 class a week or 2? *

My main monthly payment (on 1st of the month) is for 1 class a week

My main monthly payment (on 1st of the month) is for 2 classes a week

Additional Payment (on 2nd day of each month) for Monthly Level 1 & 2 Class (If you attend them)

Questions/Comments

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