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ACH Payment
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Make a Payment
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Date
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Card Holder Name
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Company Name
Credit Card Billing/Shipping Address
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Card Number
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Expiration Date
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CVV#
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Visa/ MC 3-digit on back of card
Amount
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Invoice (Optional)
Select Type
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Visa
Mastercard
Email
*
Consent
*
I authorize Pay Pro Management to withdraw payments via Credit Card
The undersigned hereby authorizes Pay Pro Management to initiate payments to the undersigned's credit card indicated above for payment of sums due in connection with their contract(s). The undersigned further authorizes the depository named above to charge the indicated credit card for any future payments. Credit card payments are subject to a 4% convenience fee. The authorization is to remain in full force and effect until Pay Pro Management shall have received written notification of its termination in such time and in such manner as to afford Pay Pro Management and depository a reasonable opportunity to act on it.
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