If you would like to enjoy the convenience of automatic recurring billing, simply complete the Bank Draft or Credit Card Information section below and sign the form. All requested information is required. Upon approval, we will automatically bill your bank account or credit card for the amount indicated and your total charges will appear on your monthly statement. You may cancel this automatic billing authorization by sending written notice in such time (no less than two weeks prior to your next scheduled payment date) and in such manner to allow both First Coast Taekwondo and the receiving financial institution a reasonable opportunity to act on it.
Please note this form is SSL secure. In addition, the Auto Bank Draft & Auto Credit Card Payment Information field is an encrypted field.