The Music Place
eCheck Payment Form

Credit Card Processing
* Fields with an asterisk (*) are required.
Your Information:
Bank Account Information:
 Date: 19-Jul-2018
(As it appears on the check.)
Sample Check
Always 9 digits, between 2 symbols.
Always ends with a symbol. May have embedded symbols!
Could be before or after Account No. (Optional, for your records.)
Enrollment Information:
Example: "July Guitar lessons with Miss Sally"
Important Information!
Use full names & details to ensure
we credit your account properly!!!
 
This Payment Includes: