By submitting your information above and clicking on the “Place Order” button, you agree to the terms of this payment form and the Terms and Conditions set forth below as of the date of your submission. If paying by credit card, you authorize the above named business to charge the credit card indicated in this payment form according to the terms outlined above and in the Terms and Conditions. If the above noted payment dates fall on a weekend or holiday, you understand that the payments may be executed on the next business day. You understand that this payment form will remain in effect until you cancel it in writing, and you agree to notify the business in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. This payment form is for the type of bill indicated above. You certify that you are an authorized user of this credit card and that you will not dispute the scheduled payments with my credit card company provided the transactions correspond to the terms indicated in this payment form and the Terms and Conditions.