Make Your Brass and Percussion Day Payment

You are about to request that a $30 (add $20 for the optional solo competition) payment be deducted electronically from your credit or check card. Please complete the following form and review the payment agreement below. All the fields below are required.

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Student Information

* First Name

* Last Name

* Age

Grade (If applicable)

School (If applicable)

* Instrument

* Email

* Shirt Size:

Solo Competition Registration

* Entering the Solo Competition?

* Title of Composition

* Composition Composer

* Composition Length

* Need an Accompanist

Name of Accompanist (If providing your own)

Billing Information

* Card Number

We accept VISA, Mastercard, American Express, and Discover

* Card Expiration Date

Month Year

* Card Security Code

* Name On Card

* Billing Street Address

* Billing Address City

Billing Email Address

Billing Phone Number

Payment Agreement

You authorize the University of Evansville to initiate a charge to the above specified credit or check card. Your credit or check card statement will reference "U OF E BUSINESS OFF" as the payee. You affirm that:

I have read, understand and agree to be bound to the terms of this agreement;
I am authorized to perform transactions using the card information above;
I accept the terms of this agreement and certify, under penalty of law, that the information provided above is correct.

Should this transaction fail for any reason (including invalid account numbers, chargeback etc.) you understand that additional penalties, fees and interest may accrue.

Click the submit button only once to avoid duplicate charges. Please check your email for confirmation that your payment was submitted successfully. If you do not receive an email within three hours, contact the Department of Music (music@evansville.edu) at 800-423-8633, ext. 2754.

Office Phone:
812-488-2754

Office Email:
music@evansville.edu

Office Location:
Room 133, Krannert Hall of Art and Music

Academic Programs
Music