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PiB Professional Institute of Beauty
Monthly Payment Authorization Form

PiB Professional Institute of Beauty
10801 Main Street
El Monte, CA 91731
626-443-9404
pib@pib.edu

Recurring Payment Authorization
I authorize Professional Institute of Beauty to charge my credit card or debit card on recurring payment for the balance I owed the beauty school. Any changes or adjustments to your future recurring payments, need to be made with Professional Institute of Beauty, verbally with Willie Quinonez, Consuelo Ayala, or Patricia Ayala, or in writing, email to pib@pib.edu, or via text message to 626-255-5218.
1.Name of Student
2.Credit or Debit Card Information
3.What amount do you want your monthly payment to be?
4.What day of the month do you want your monthly payment to be charged?
5.To begin this process, we will need to collect a deposit today. What amount would you like to pay to start your monthly payment plan? Any amount you choose will be applied directly to your account.

Or, if you’re ready to pay it all now, just type the full amount here.