Credit Card Authorization

*Thanks for choosing Ivy Tutors. We look forward to helping you achieve your college and academic goals! Payments are processed on a per-session basis at the end of each session. All payments are agreed upon before processing and payment receipts will be sent to the email address recorded on this form. We value your confidence. No student or parent information is ever shared with any person or entity without prior consent.

Student Name

First Name

Last Name

Cardholder Name

First Name

Last Name

Card Type

Card Number

Expiration Month

Expiration Year

Zip Code

CVV Number

4-digit code for Amex cards

Email for Receipts

Electronic Signature

I hereby authorize Ivy Tutors to process payments in accordance with the above policies and procedures.