CR Media/Music House Payment Form Name Please select a payment option from the list below. If you have any questions please email us at [email protected] Your Information: First Name * Last Name * Email Address * Which payment would you like to make? * Select a Payment: $1000 - Deposit $2600 - Secondary Payment $3600 - Full Tuition Payment Custom Amount Amount Total: $ Billing & Card Information First Name: * Last Name: * Credit Card Number: Expiration Date2: * CVC: * Postal Code *
