Make a Band Instrument Rental Payment or Update/Enroll Card for Auto-Pay


                

        
        	Step 1 of 2 - Account Information
        	
            
                0%
            
                        
                                    Make Payment or Update Auto-Pay Card Information*
			
				
				Make Rental Payment
			
			
				
				Update or Enroll Card in Auto-Pay
			
Full Name* 
Please enter the full name on account.
Email*
                            
                        
Phone Number* 
Please enter primary phone number on account.
Contract ID or Account Number 
If known, please enter account number or contract ID.
                    
                    
                          
                    
                
                
                    
                        Enter Payment Amount*
					
				
Credit Card Number* 
We accept Visa/Mastercard/Discover
Exp Date* 
Billing Zip Code* 
CVV Code 
Auto-Pay Authorization*
			
				
				Authorize
			
Please refer to your contract for payment day (it will be a monthly payment, on the date of your contract). 
Total
							$0.00
							
						
Authorization Agreement*
			
				
				I AGREE
			
By selecting I AGREE, you agree to make the payment entered on the card information received. 
Authorization Agreement*
			
				
				I AGREE
			
By selecting I AGREE, you agree to update the auto-pay card on file under the rental agreement, continuing your enrollment in monthly auto-pay payments.
*If there is no form to fill out above this text, please refresh the page.