Make a Payment

One-Time Payment (Card on file)

Please note that all fields followed by an asterisk must be filled in.

First Name*

Last Name*

E-Mail Address*

Amount to Charge (USD)*

Invoice Number (top left corner of invoice)

This payment also includes a past due amount

	YES
	NO

Authorization*

I authorize Orlando Premier Music Instruction to charge the credit card on file for the amount stated above. I agree that I will pay for the services provided in accordance with the issuing bank cardholder agreement.

Please enter the word that you see below.