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[[[["field43","contains","Yes"]],[["show_fields","field45"]],"and"],[[["field56","contains","Yes"]],[["show_fields","field57,field58"]],"and"]]
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Credit Card Authorization Form
Information
Billing Address
Credit Card Information

International cards will be charged a 5% convenience fee

Payment Reason
Agreement

In lieu of your wet ink signature, please type your full legal name below if you agree to the following:

I authorize California College of Music to charge the agreed amount listed above to my credit 
card provided herein. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement.

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