Auto Pay Form

SEMESTER(S) *

I agree to “opt-in” to auto pay for the semester(s) indicated above. *

I understand that signing up for auto pay gives Ensemble permission to charge the card on file for tuition & fees ONLY. *

I have saved my credit card information through the invoice. *

I agree to keep my auto-pay information up to date. *

I understand that there will be a $25.00 late fee for any payments received after the 1st of the month due to incorrect card information or insufficient funds. *

I understand that auto payments will be run at the end of each month for the following month’s tuition. *

I agree to pay any overdraft fees charged to Ensemble as a result of insufficient funds on the card information provided. *

I understand that no refunds will be given once payments have been run. All drops must be submitted by the 20th of the month prior in order to avoid being charged the month’s payment. *