Uplift Writing Payment Authorization Page
Secure Payment Form

Order Summary:
Order Date: 12/17/18
Order Amount: $0.01
Customer IP: 54.221.147.93 
Form Information: This form will charge your Credit Card or debit your Bank Account (if you choose Pay By Check below) $0.01 to allow us to securely save your payment information.

Your bank may alert you that your payment is "Recurring" or the charge may appear on your Credit Card Statement as recurring but that is a system setting due to how we process the payments. You will only ever be charged for sessions that were scheduled.

By completing this form and clicking the Process Payment button below you authorize Uplift Writing to automatically charge your Credit Card or debit your Bank Account bi-monthly for Tutoring Services rendered. By submitting this form you agree to Uplift Writing's rates, change, and cancellation policy outlined below.

Current Tutoring Rates:
Minimum 1 hour sessions except for special arrangements. Appointments are charged as booked plus any additional time.
General Writing, Verbal: 94/hr
Advanced, Honors, AP, IB: 104/hr
Test Prep such as SAT, ACT, ISEE, SSAT: 134/hr
Admissions Consulting and Essay Review: 134/hr
Same Day Bookings: 20/hr extra helps ensure a tutorís availability.
Dylan's rate starts at 104/hr
Holly's rate starts at 114/hr
Contact us to discuss tutoring more than one student simultaneously.

Cancellation and Change Policy:
Changes or Cancellations made for any reason after 5pm two days prior to appointment: $20 charge.
Changes or Cancellations made for any reason after 5pm one day prior to appointment: half-charge.
Changes or Cancellations made for any reason the day of appointment: full-charge.

Kindly fill in ALL fields Below and thank you for also filling in your Student's Name, School, and Grade.
           
Credit Card and Bank Information:
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Card Expiration Date: MMYY
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Billing Information:
First Name:
Last Name:
Address:
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City:
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Email Address:
STUDENT Name:
STUDENT School:
STUDENT Grade 2018-19:
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