Payment Authorization Payment Authorization Credit Card Payment (includes 3% fee added to invoice) AMEX Visa Mastercard DiscoverCardholder Name Card Number Expiration Date Billing Zip Code ACH Bank Transfer Payment (includes 1% fee added to invoice) Checking Account Savings AccountBank Routing Number Account Number Recurring Payments Weekly (charged approx Monday or Tuesday for week prior) Monthly (charged approx the 1st - 5th of each month)Email receipts and/or monthly statements to: Certification Name Today's Date Submit Form
