I [ACCOUNT HOLDER] authorize regularly scheduled charges to my Credit Card or Checking Account. I understand I will be charged the amount indicated on my monthly invoice, which will be emailed for the previous month’s services within the first 10 days of each month. 5 days after distributing monthly invoices, Scholastic Success is authorized to debit the full amount due. Payment cannot be initiated by Scholastic Success Clients and cannot be paid in installments. I agree that no prior notification will be provided unless the date or amount changes, in which case I will receive notice from Scholastic Success 5 days before the payment is collected. Within those 5 days, I am provided time to review, inquire and dispute my monthly invoice. After 5-day grace period, the invoice is final and Scholastic Success will collect payment in full. A receipt for each payment will be provided. *

I acknowledge & agree

I [ACCOUNT HOLDER] understand that this authorization will remain in effect until I cancel it in writing. I agree to notify Scholastic Success, in writing, of any changes in my account information or termination of this authorization at least five (5) days before the next billing date. Termination of auto-debit can occur by emailing accounts@scholastic-success.com and only after all outstanding services/invoice have been paid in full. Maintaining sufficient funds and/or valid payment information on file is solely the responsibility of the Account Holder. Failure to maintain sufficient funds and/or valid payment information on file could lead to the Account holder incurring additional fees/penalties for non-sufficient funds and/or late payment. *

I acknowledge & agree

I [ACCOUNT HOLDER] understand that Scholastic Success fees are hourly - not fixed bid or project based - and are solely based on the frequency and duration of services rendered (see payment and pricing guide). I understand that student performance or outcomes have no effect on the amount due for the services rendered. *

I acknowledge & agree

Account Holder Signature (Print Name): *

First Name

Last Name

Date *

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