Visa, MasterCard and Discover

If you are using a Visa, Mastercard or Discover, please provide the 3-digit verification number found on the back of your card. This is a non-embossed number printed on the signature panel on the back, immediately following the account number.

American Express

If you are using an American Express card, please provide the 4-digit verification number found on the front of your card. This is the non-embossed portion of the numbers.

• You authorize us to make a withdrawal from your bank account.
• You are the bank account holder or an authorized agent for the bank account listed above.
• Your bank account is with a U.S. bank.
• Your payment will be debited from your bank account on or about the same day you make your payment online.
• If you selected a recurring payment plan you hereby authorize and approve the amount you specified to be withdrawn from the bank account on the recurring frequency you selected.