HOME
ABOUT
SERVICES
PRICING
TESTIMONIALS
ENROLL
Recurring Lessons
Single Lessons
SCHEDULE
Wait List
Scheduling Tool Instructions
RESOURCES
Terms and Conditions
Change Payment Information
Suspend/Cancel
Gift Certificate
Musicnotes.com
PayPal Credit
Upload File
CONTACT
Country
UNITED STATES 840
CANADA 124
MEXICO 484
UNITED KINGDOM 826
AFGHANISTAN 4
ALABANIA 8
ALGERIA 12
AMERICAN SAMOA 16
ANDORRA 20
ANGOLA 24
ANGUILLA 660
ANTARTICA 10
ANTIGUA AND BARBUDA 28
ARGENTINA 32
ARMENIA 51
ARUBA 533
AUSTRALIA 036
AUSTRIA 40
AZERBAIJAN 31
BAHARAIN 48
BANGLADESH 50
BARBADOS 52
BELARUS 112
BELGIUM 56
BELIZE 84
BENIN 204
BERMUDA 60
BHUTAN 64
BOLIBIA 68
BOSNIA-HERZEGOBINA 71
BOTSWANA 72
BOUVET ISLAND 74
BRAZIL 76
BRITISH INDIAN OCEAN TERRITORY 86
BRITISH VIRGIN Is. 92
BRUNEI 96
BULGARIA 100
BURKINA FASO 854
BURUNDI 108
CAMBODIA 116
CAMEROON 120
CAPE VERDE 132
CAYMAN ISLANDS 136
CENTRAL AFRICAN REP 140
CHAD 148
CHILE 152
CHINA 156
CHRISTMAS ISLAND 162
COCOS ISLAND 166
COLOMBIA 170
COMOROS 174
CONGO 178
COOK ISLANDS 184
COSTA RICA 188
CROATIA 191
CYPRUS 196
CZECH REPUBLIC 203
DENMARK 208
DJIBOUTI 262
DOMINICA 212
DOMINICAN REPUBLIC 214
EAST TIMOR 626
ECUADOR 218
EGYPT 818
EL SALVADOR 222
EQUATORIAL GUINEA 226
ERITREA 232
ESTONIA 233
ETHIOPIA 230
ETHIOPIA 231
FAEROE ISLANDS 234
FALKLAND ISLANDS 238
FIJI 242
FINLAND 246
FRANCE 249
FRANCE 250
FRENCH GUIANA 254
FRENCH POLYNESIA 258
FRENCH SOUTHERN TERR. 260
GABON 266
GAMBIA 270
GEORGIA 268
GERMANY 278
GERMANY 280
GERMANY 276
GHANA 288
GIBRALTAR 292
GREECE 300
GREENLAND 304
GRENADA 308
GUADALOUPE 312
GUAM 316
GUATEMALA 320
GUINEA 324
GUINEA-BISSAU 624
HAITI 332
HEARD & MCDONALDS IS. 334
HONDURAS 340
HONG KONG 344
HUNGARY 348
ICELAND 352
INDIA 356
INDONESIA 360
INTERNATIONAL 900
IRAN 364
IRAQ 368
IRELAND 372
ISRAEL 376
ITALY 380
JAMAICA 388
JAPAN 392
JORDAN 400
KAZAKHSTAN 398
KENYA 404
KOREA 408
KOREA 410
KUWAIT 414
KYRGYZSTAN 417
LAOS 418
LATVIA 428
LEBANON 422
LESOTHO 426
LIBERIA 430
LIBYA 434
LIECHTENSTEIN 438
LITHUANIA 440
LUXEMBOURG 442
MACAO 446
MARCEDONIA 807
MADAGASCAR 450
MALAWI 454
MALAYSIA 458
MALDIVES 462
MALI 466
MALTA 470
MARSHALL ISLANDS 584
MARTINQUE 474
MAURITANIA 478
MAURITIUS 480
MAYOTTE 175
MICRONESIA 583
MOLDOVA 498
MONACO 492
MONGOLIA 496
MONTSERRAT 500
MOROCCO 504
MOSAMBIQUE 508
NAMIBIA 516
NAURU 520
NEPAL 524
NETHERLANDS 528
NEUTRAL ZONE 536
NEW CALEDONIA 540
NEW ZEALAND 554
NICARAGUA 558
NIGER 562
NIGERIA 566
NIUE 570
NORFOLK ISLAND 574
NORTHERN MARIANA ISLAND 580
NORWAY 578
OMAN 512
PAKISTAN 586
PALAU 585
PANAMA 590
PAPUA NEW GUINEA 598
PARAGUAY 600
PERU 604
PHILIPPINES 608
PITCAIRN ISLAND 612
POLAND 616
PORTUGAL 620
PUERTO RICO 630
QATAR 634
REUNION 638
ROMANIA 642
RUSSIA 643
RWANDA 646
S.GEORGIA & S.ndwich Is 293
SAN MARINO 674
SAO TOME & PRINCIPE 678
SAUDI ARABIA 682
SENEGAL 686
SEYCHELLES 690
SIERRA LEONE 694
SINGAPORE 702
SLOVAKIA 703
SLOVENIA 705
SOLOMON ISLANDS 90
SOMALIA 706
SOUTH AFRICA 710
SPAIN 724
SRILANKA 144
ST. HELENA 654
ST. KITTS-NEVIS 659
ST. LUCIA 662
ST. PIERRE AND MIQUELON 666
ST. VINCENT 670
SUDAN 736
SURINAM 740
SVALBARD & JAN MAYEN IS 744
SWAZILAND 748
SWEDEN 752
SWITZERLAND 756
SYRIA 760
TIAWAN 158
TAJIKISTAN 762
TANZANIA 834
THAILAND 764
TOGO 768
TOKELAU 772
TONGA 776
TRINIDAD 780
TUNISIA 788
TURKEY 792
TURKMENISTAN 795
TURKS & CAICOS ISLANDS 796
TUVALU 798
U.S. Minor Islands 581
UGANDA 800
UKRAINE 804
UNITED ARAB EMIRATES 784
URUGUAY 858
UZBEKISTAN 860
VANUATU - 548
VATICAN CITY 336
VENEZUELA 862
VIETNAM 704
VIRGIN ISLANDS 850
WALLIS AND FUTUNA IS 876
WESTERN SAHARA 732
YEMEN 720
YEMEN 886
YUGOSLAVIA 890
YUGOSLAVIA 891
ZAIRE 180
ZAMBIA 894
ZIMBABWE 716
Billing ZIP
Financial Responsibility/Guardian Phone
Mailing Zip
*
Card Number
*
Card Expiration Month
*
01 - January
02 - February
03 - March
04 - April
05 - May
06 - June
07 - July
08 - August
09 - September
10 - October
11 - November
12 - December
Billing Address (Include Apt/Ste No)
AUTOMATIC BILLING INFORMATION
*
The Cardholder is the student.
The Cardholder is NOT the student.
Cardholder Phone
*
Student Date of Birth
*
Student Phone
*
Financial Responsibility/Guardian Name
Billing City
Card Expiration Year
*
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
Study Options (Automatic Billing Setup Required)
*
4 - 60 Minute Lessons @ $240.00 Per Month
4 - 45 Minute Lessons Per Month @ $210.00
8 - 60 Minute Lessons @ $440.00 per Month
12 - 60 Minute Lessons @ $600.00 per Month
RECURRING LESSON APPLICATION: Student and Payment Information (Page 2 of 2)
Payment Frequency
*
Monthly (Standard)
Quarterly (Pay for 3 Months of Lessons per Period)
Semi Annually (Pay for 6 Months of Lessons per Period)
Yearly (Pay for 12 Months of Lessons per Period)
Mailing City
*
Mailing State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Student Full Name
*
Financial Responsibility/Guardian Email
Card Type
*
Visa
MasterCard
Discover
American Express
CVV
*
STUDENT INFORMATION (Is the Student a minor?)
*
Yes - Complete the Student AND Financial Responsibility/Guardian Information section.
No - Complete Student Section then continue to Automatic Billing Information Section
Cardholder Name (Exactly as it appears on the credit/debit card)
*
Acknowledgement
*
I certify that I have read and understand the Terms and Conditions. I authorize the Damon K. Clark Vocal Studio to make recurring charges to my Credit/Debit Card listed in this contract/recurring debit authorization form, and if necessary, to initiate adjustments for any transactions credited or debited in error. This authority will remain in effect until the Damon K. Clark Vocal Studio has received written notification from me to cancel it. If I wish to cancel this contract and recurring debit authorization, I understand after having read the Terms and Conditions, that notice of my intent to cancel this contract and recurring debit authorization must be submitted via the SUSPEND/CANCEL form on this website at least thirty (30) days in advance of your scheduled payment cycle (Automatic Billing date) which can be found in this contract. If the contract cancellation is not submitted at least thirty (30) days before the next scheduled Automatic Billing date, I am responsible for payment.
Student Email:
*
Mailing Address (Include Apt/Ste No., if applicable)
*
Cardholder Email
*
Electronic Signature (Enter Your Full Legal Name)
*
Choose an Automatic Billing Date
*
Last Day of the Month
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
13th
14th
15th
16th
17th
18th
19th
20th
21st
22st
23rd
24th
25th
26th
27th
28th
29th
30th
31st
View on Mobile