Credit Card Authorization (Recurring) Form - Atlanta's John Marshall Law School

Recurring Payments Authorization
I request and authorize Atlanta’s John Marshall Law School to charge my credit card according to the above information. This is not an instant payment form. If you want to make a payment directly on the website, you may do so on the Make A Payment page.
STUDENT'S Name*
Monthly Amount*
Date to Process*
Payment Description*
Semester*
Email*

to receive confirmation of form submission
Credit Card Information
Name on Credit Card*
Credit Card Number*
Card Type*
3 or 4 Digit Security Code*
Expiration Date*
Signature
I authorize Atlanta’s John Marshall Law School to charge my monthly tuition payments for the amount indicated above on the dates indicated above. I understand that there may be a 3-day period as to when my card may be charged due to business operating hours, school closings, etc. I understand that this is a one-time payment and this form will not be used to authorize any additional payments. Additionally, I understand that I am responsible for all payments not authorized or approved by my credit card company or bank. By signing below, I agree to the terms of this authorizations form.
Card Holder Signature*

Please type your name as your electronic signature.
Date*
MM slash DD slash YYYY
CAPTCHA
Note
This authorization expires at the end of the semester.

Recurring Payments Authorization