If you are a human and are seeing this field, please leave it blank. Fields marked with an * are required Credit card payment authorisation form Student details Student's first name * Student's surname * Invoice number * Amount * Card details Name on card * Card number * Expiry (MM-YY) * CCV * I authorise Bright Stars Music Pty Ltd to debit my card with the amount provided in this form. * I request for Bright Stars Music Pty Ltd to automatically debit this card for future invoices (NB. the automatic debit will take place on the due date of new invoices. This can be cancelled at anytime by emailing [email protected]).