credit card authorization form. | CCM

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credit card authorization form.

PLEASE FILL OUT AND COMPLETE THIS AUTHORIZATION FORM .
All information will remain confidential.

Cardholder Name

Billing Address

Billing Address Line 2

City

Region/State/Province

Postal / Zip code

Country

CreditCard Number

Expiration Date

Card Identification Number

Charge Amount (USD)

I authorize California College of Music to charge the agreed amount listed above to my credit card provided herein. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.

Thanks for submitting!

CONTACT US

info@ccmla.edu
626-577-1751

42 S. Catalina Ave.
Pasadena, CA 91106

SEVP:
CCM is certified by the Student and Exchange Visitor Program (SEVP) to enroll nonimmigrant students for F-1 classification.

Accreditation:
California College of Music is an accredited institutional member of the National Association of Schools of Music

Memberships:
Association for Popular Music Education
Pasadena Chamber of Commerce

Licensed by the State of California's
Bureau for Private Postsecondary Education
Institutional and Student Consumer Information

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