* Online payment options include credit/debit card and electronic check (eCheck). Please select payment option below. Credit/debit card transactions will include a convenience fee of 2.7 percent of the transaction amount. There is no cost to you for eCheck payments. When paying by eCheck, your bank account must be Automated Clearing House (ACH)-enabled, meaning the transaction can settle through the ACH Network. Please be advised that an ACH attempt that is returned will be automatically re-attempted and is subject to any fees your bank may assess. For questions regarding online payments, please contact


I authorize the above named business to charge the credit card / ACH E-check indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card / ACH E-check and that I will not dispute the payment with my credit card company/ bank; so long as the transaction corresponds to the terms indicated in this form.