Ref: Agreement to Debit Credit Card Date* Date Format: MM slash DD slash YYYY Name*This agreement is between Caribbean International Academy (CIA) and Mr./Mrs. First Last Name*for the authorization for CIA to debit Mr./Mrs. First Last Master/Visa card no.*Card Exp Date:*Name*(Name of Student) First Last Year*School year tuition,$for the total amount of USD.TuitionTuition for the month(s)$2for the total amount of USD$3Tuition monthly charges of USDfromfromtoto$Books for the total amount of USDGRAND TOTAL AMOUNT USD TO BE CHARGED:Parent Signature* I agree and give my permission to charge my card.