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AWA Collections

Payment Processing Portal

Please enter your personal info:

Customer Account #: *
Name: *
Country: *
Address:
Street 1: *
Street 2:
City: *
State: *
Zip Code: *
Phone Number:
E-Mail Address: *
*you will be emailed a receipt of this transaction if address supplied

Pay by:

     
Name on Card:  *
Card Number:  *
Expire Date: *
Security Code: ?*
Payment Amount: $ *
Name on Account: *
Routing Number:
*
Account Number: *
Type: Checking Savings
Payment Amount : $ *
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.  *

Please note that if you wish to revoke or discuss this authorization please call us at 888-771-3690 during business hours.
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