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Make a Payment for your CEO Space Membership

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If you make a payment for anyone but the cardholder an authorization form must be completed and signed by the card holder.
CEO Space Inc. may only accept payments for third parties with the required legal form being signed by the third party card holder. Click here to download form.   The form is in addition to the online payment and is transmitted by fax or mail before class or brought to the door for registration on site.
I am paying for:
Member First Name  
Member Last Name  
Your e-mail for payment confirmation.    
Provide name on debit / credit card and billing address to which card statement is mailed.
First Name on Card
Last Name on Card
Billing Address
Billing City
Billing State
Billing Zip
Billing Phone
CreditCard No no spaces    
Expires Mo / Year    
Card Security Code Security Code on back of card (Front on Amex)
Amount to be charged US Dollars  
Write the characters shown Type correct word shown Get a new challenge
Click only once.

Note: Payments are non-refundable by contract.
Problems? You may call our Office between 9 AM and 5 PM Central Time
(256) 850-4700, ext 0 to speak with our customer service department.