Complete ADVAIA's ACH or Credit Card Authorization Form

5/30/2020 1:37:43 PM

ADVAIA accepts ACH (Automated Clearing House) for electronic payments directly from your bank account or accepted credit cards including VISA, MasterCard, American Express, and Discover.

Schedule your payment to be automatically deducted from your bank account, or charged to your Visa, MasterCard, American Express or Discover Card. Just complete and sign this form to get started. Use our convenient Word Document fillable form and then email to: [email protected]. You can also FAX to (954) 495-8150.

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Recurring Payments Will Make Your Life Easier:

• It's convenient (saving you time and postage)
• Your payment is always on time (even if you’re out of town), eliminating late notices

Here’s How Recurring Payments Work:

You authorize ADVAIA for regularly monthly scheduled hosting/service charges to your checking/savings account or credit card. By providing this information you will be charged each billing period and for all approved work orders. A receipt for each payment will be emailed to you and the charge will appear on your bank statement as an “ADVAIA INC” You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected.

There is no fee for using ACH for your payments.