ONE TIME PAYMENT:

I authorize merchant to electronically debit the bank account or credit card entered in this web form for the amount on today’s date. I understand this is an electronic transaction and funds may be withdrawn from my account as soon as the above-noted transaction date. I understand that this authorization will remain in effect until I notify merchant in writing or by phone that I wish to revoke this authorization. I understand merchant requires prior notice to cancel this authorization. . In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that the merchant may attempt to process the charge again. I certify that I am an authorized user of this credit card or bank account, and that I will not dispute the payment with my Credit Card Company or Bank, so long as the transaction corresponds to the terms indicated in this web form.  To complete the payment process, click “Complete Payment” button

RECURRING PAYMENT:

I authorize merchant to electronically debit the bank account or credit card entered in this web form for the amount on the scheduled designated. I understand this is an electronic transaction and funds may be withdrawn from my account as soon as the above-noted transaction date. I understand that this authorization will remain in effect until the scheduled end date, or until I notify merchant in writing or by phone that I wish to revoke this authorization prior to the next billing date as described in the terms and conditions and in addition agree to notify the merchant of any changes in my account information or termination of this authorization prior to the next billing date.. In understand merchant requires prior notice to cancel this authorization. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that the merchant may attempt to process the charge again I certify that I am an authorized user of this credit card or bank account and that I will not dispute the payment with my Credit Card Company or Bank, so long as the transaction corresponds to the terms indicated in this web form.  To complete the payment process, click “Complete Payment” button.