Payment Authorization Form

Your credit card on file will be automatically debited on the 1st of each month for the amount that is

due this month. In case of a declined automatic draw, it is your responsibility to submit a manual payment. A new "Payment Authorization From" should be submitted if you would like to update your credit/debit card information for future automatic payments.

Thank you!

Credit Card Payment Authorization

I authorize GSK Music, LLC DBA PianissiMore to charge my Credit Card indicated below for the amount on my monthly invoice on the invoice's due date. I understand that my information will be saved for future transactions.

Cardholder Name (as shown on card)

Billing Address

Phone Number

Credit Card #

Expiration Date

Card Verification Code (CVV)

Your Signature

Today's Date

I accept terms & conditionsView terms of use

Thank you for submitting!

Payment Authorization Form

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