Tuition Express Form – The Children's Circle – Myers Park United Methodist Church

We are excited to offer the safety, convenience and ease of Tuition Express® — a payment processing system that allows secure, on-time tuition and fee payments to be made from either your bank account or credit card (note: 4 percent processing fee added per credit card transaction; Visa or Mastercard only). We are currently only offering monthly drafts of tuition via Tuition Express.

All families must enroll in our Tuition Express program for the payment of monthly tuition.
Number of Children at TCC
Child #1 Name
First Last
Child # 2 Name
First Last
Child #3 Name
First Last
Parent/Legal Guardian Name*
First Last
Parent/Legal Guardian Email
Please select one:*
ELECTRONIC FUNDS TRANSFER AUTHORIZATION FOR BANK ACCOUNT and CREDIT CARD
I (we) hereby authorize MPUMC TCC to initiate credit card charges to the below-referenced credit card account (Section A) OR, initiate debit entries to my (our) checking or savings account, indicated below (Section B). To properly affect the cancellation of this agreement, I (we) are required to give 10 days written notice. Credit union members: please contact your credit union to verify account and routing numbers for automatic payments. Check with the center for accepted credit card types.
Signature
Date
MM slash DD slash YYYY
Please Select
Credit Card
Only VISA and MASTERCARD accepted, no American Express. Please note that there is a 4 percent processing fee charged for credit card payments.
Cardholder Name
First Last
Cardholder Phone Number
Cardholder Billing Address
Street Address City State ZIP Code
Account Number
Expiration Date
Signature
Date
MM slash DD slash YYYY
Bank Account
Name
First Last
Phone
Address
Street Address City State ZIP Code
Bank or Credit Union Name
Bank or Credit Union Address
Street Address City State ZIP Code
Routing Transit Number
Account Number
Checking or Savings
- Checking
- Savings
Signature
Date
MM slash DD slash YYYY
CAPTCHA

All families must enroll in our Tuition Express program for the payment of monthly tuition.

Credit Card

Bank Account