AAA Credit Service Collection

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WE ACCEPT FOLLOWING CREDIT CARDS

Name on Card *

Card Number *

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Convenience fee:

$ 0.00

Total:

$ 0.00

A convenience fee of $10.95 is required for using this service. It will appear as a separate transaction on your account listed as "Pmt Processing Svc".

Name on Account *

Routing Number

Account Number *

Type *

Checking

Savings

Payment Amount *

I agree to the terms and conditions set forth in my Cardholder Agreement.*

I authorize the merchant listed above to electronically debit my account in the amount specified here on the following business day. I agree to provide the merchant with my Bank and Account information and hereby authorize the merchant to debit the Account in order to pay the designated payment. By authorizing a payment to be made through Easy Payment Now you are requesting an electronic transfer from your bank account. *

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This is an attempt to collect a debt. Any information provided will be used for that purpose.