Please complete the following form to make a payment using your credit card or bank account.
I hereby authorize you to charge my credit card or draft my bank account for the amount indicated above. I understand that I will be responsible for payment of these charges per the terms of my Card Issuer Agreement. I agree not to dispute these charges with my credit card company or financial institution. I understand that doing so may result in a Charge Back Fee, in addition to the amount owed.
I understand that I will be responsible for payment of these charges per the terms of my Card Issuer Agreement. I agree not to dispute these charges with my credit card company or financial institution. I understand that doing so may result in a Charge Back Fee, in addition to the amount owed.