Credit Card Authorization Form Please fill out the credit card authorization form below. We will charge your card and send the paid receipt. Your Complete Name (required) Your Email (required) Your Phone Number (required) Your Phone Cell (optional) Promotional price for 1 level (8 weeks) including 2 books and sales tax = $323.34.Registration by Sept 8. $343.34 promo rate for new students for 8 weeks of classes with 2 books. Credit card type (required) ---DiscoverAmerican ExpressMastercardVisa Credit Card Number (required) Expiration Date - Month (required) Expiration Date - Year (required) Security Code (required) Your Billing Address (required) Your Billing Address City (required) Zip Code (required) More Comments I authorize CCLS Miami to charge my credit card for the amount above.