MAKE A PAYMENT

Credit Card Authorization Form

This form will be sent directly to the billing department for manual processing. This will not immediately charge your account. If you wish to make an immediate payment you can call us at 772.888.6005. Note: The charge will display as ‘Turn it Up Deejays’ on your card statement (our parent company).

Name

First Name

Last Name

Email Address

Amount of Payment

CC Number

CC Expiration Date

CVV Code

Usually On the Back

Zip Code of Card

Receipt?

Provide an Email or Cell Phone Number

Lastly, What is the Date on the Contract?