Account Update & Payment Authorization

Please fill out and confirm all information below to update your rental account with Cassandra Strings.

I need to... (you can select more than one) *

Update & authorize my monthly payment Information

Update my contact information

Update my student's information

Make a rental payment

Current Account Information

Account Number (if known)

Account Holder First Name *

Account Holder Last Name *

Street Address on File *

Address Line 2

City *

State *

Zip Code *

Primary Phone Number *

Email Address *

Confirm Email *

Updated Contact Information

To change the name on the contract, please call (847) 458-7386. We will need authorization from both parties to make the change.

Updated Street Address (No PO Boxes)

Address Line 2

City

State

Zip Code

Phone Number

Email Address *

Confirm Email *

Updated Student Information

Student Name

Student School

School District

Music Teacher Name

Grade Level During Current School Year

Monthly Payment Authorization

Monthly Payment Method *

Credit/Debit Card

Bank Account ACH

Account Holder Name *

Bank Name *

Bank Account Number *

Bank Routing Number *

Account Type *

Checking

Savings

Name on Card *

Credit Card Number *

Expiration Date (mm/yy) *

Card Verification Code *

Monthly Payment Authorization *

I authorize Cassandra Strings to charge the credit/debit card provided in this form for my monthly recurring automatic rental payments in the amount agreed to by my signed contract plus any sales tax required by state law. I certify that I am an authorized user of this credit/debit card and will not dispute the payment with my credit card company/bank, so long as the transaction corresponds to the terms indicated in this form.

Monthly Payment Authorization *

I authorize Cassandra Strings, Inc. to charge the bank account provided in this form for my monthly recurring automatic rental payments in the amount agreed to by my signed contract plus any sales tax required by state law. I certify that I am an authorized user of this account and will not dispute the payment with my bank, so long as the transaction corresponds to the terms indicated in this form. This authorization shall remain in place unless the rental instrument is returned to a Cassandra Strings location or until revoked by me via a written directive to Cassandra Strings, Inc. at least 15 days before any date in which any electronic funds transfer is to occur, to permit Cassandra Strings, Inc. sufficient time to act on my request. In the unlikely event that my payment is returned unpaid, Cassandra Strings, Inc. may elect to electronically re-present my payment up to two (2) more times. I also understand and agree to authorize or permit Cassandra Strings, Inc. to collect a returned processing charge by the same means, not exceeding $15, as permitted by state law.

Signature *

clear

Make a Payment

Payment Method *

Credit/Debit Card

Bank Account ACH

Payment Amount *

Account Holder Name *

Bank Name *

Bank Account Number *

Bank Routing Number *

Account Type *

Checking

Savings

Name on Card *

Credit Card Number *

Expiration Date (mm/yy) *

Card Verification Code *

Save this payment information for future automatic payments *

Yes

No

One (1) Time Payment Authorization *

I authorize Cassandra Strings to charge the credit/debit card provided in this form for a one (1) time rental payment for the amount indicated above plus any sales tax required by state law. I certify that I am an authorized user of this credit/debit card and will not dispute the payment with my credit card company/bank, so long as the transaction corresponds to the terms indicated in this form.

One (1) Time Payment Authorization *

I authorize Cassandra Strings to charge the bank account provided in this form for a one (1) time rental payment for the amount indicated above plus any sales tax required by state law. I certify that I am an authorized user of this account and will not dispute the payment with my bank; so long as the transaction corresponds to the terms indicated in this form. In the unlikely event that my payment is returned unpaid, Cassandra Strings, Inc. may elect to electronically re-present my payment up to two (2) more times. I also understand and agree to authorize or permit Cassandra Strings, Inc. to collect a returned processing charge by the same means, not exceeding $15, as permitted by state law.

Monthly Payment Authorization *

I authorize Cassandra Strings to charge the credit/debit card provided in this form for my monthly recurring automatic rental payments plus any sales tax required by state law. I certify that I am an authorized user of this credit/debit card and will not dispute the payment with my credit card company/bank, so long as the transaction corresponds to the terms indicated in this form.

Monthly Payment Authorization *

I authorize Cassandra Strings, Inc. to charge the bank account provided in this form for my monthly recurring automatic rental payments in the amount agreed to by my signed contract plus any sales tax required by state law. I certify that I am an authorized user of this account and will not dispute the payment with my bank, so long as the transaction corresponds to the terms indicated in this form. This authorization shall remain in place unless the rental instrument is returned to a Cassandra Strings location or until revoked by me via a written directive to Cassandra Strings, Inc. at least 15 days before any date in which any electronic funds transfer is to occur, to permit Cassandra Strings, Inc. sufficient time to act on my request. In the unlikely event that my payment is returned unpaid, Cassandra Strings, Inc. may elect to electronically re-present my payment up to two (2) more times. I also understand and agree to authorize or permit Cassandra Strings, Inc. to collect a returned processing charge by the same means, not exceeding $15, as permitted by state law.

Signature *

clear

Comments or requests

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