Elevate Payment Form
Automatic Credit Card Billing Authorization Form
Customer Name *
Child's/Children's Name(s) *
Method of Payment *
Monthly Auto Payment Date (Taken out September 2020-May 2021) *To cancel auto payment, you must email us at elevategymnastics@gmail.com.
Customer's Signature *
Date *
MM
/
DD
/
YYYY
Submit
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