Pay Online

By clicking on the Pay Button, I am authorizing my merchant to initiate a one-time ACH/electronic debit in the amount indicated from the bank account I have designated above. The debit is to occur approximately 3-5 business days from submission and I understand that the authorization will remain in full force and effect until the transaction is cancelled by me by contacting my merchant, or the ACH/electronic debit is processed from the designated account. Any request for cancellation shall afford my merchant a reasonable opportunity to act on such request. I certify that (1) I am authorized to debit the bank account above and (2) that the ACH/electronic payment I am authorizing complies with all applicable laws. By clicking on the Pay Button, you agree to pay the above amount and provide your information to help process your payment and detect fraud. Please see our Privacy Policy for more information on our data practices.