Recurring Billing and Payment "*" indicates required fields Name* First Last Company (please indicate company you are submitting payment for)* Email (where invoices and receipts will be sent)* Phone*Please select from the payment options below. If you select the credit card payment option, there will be a 3% credit card processing fee added to the sum total of your charge. We recommend the secure ACH payment option, which requires no additional processing fees.Payment Options ACH Transfer: I would like to provide my bank account information below for a secure ACH transfer. ACH Transfer: I would prefer to provide my bank account information over the phone, instead of the secure form below. CC: I would like to provide my credit card information on the secure form below. CC: I would prefer to provide my credit card and billing information over the phone, instead of the secure form below. Bank Account Info1) Please enter your bank account information below, including the exact name that is associated with the bank account.Account TypeConsumer CheckingBusiness CheckingConsumer SavingsBusiness SavingsName* Account Number* Routing Number* ACH Authorization* I authorize to electronically debit my bank account Credit Card Info1) The name on card, address, city, state, and zip code fields all need to match those items on your payment card statement. 2) The security code is also known as the CSV code and is the 3-digit number found on the back of your payment card.Name on Card* Address* City* State* Zip* Type (We accept VISA, MasterCard, Discover, AMEX)VISAMasterCardDiscoverAMEXCard Number* Expiration Date* Security Code* Credit Card Authorization* I authorize to charge my credit card Credit Card Processing Fee* I authorize to add a 3% credit card processing fee to the sum total of my charge. Comments Δ