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Online Payment Form
Reference#
Name
Account Address
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CHECKING PAYMENT INFORMATION
Account#
Routing#
Bank Name
Check#
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CREDIT CARD PAYMENT INFORMATION
Card#
Exp Date
CCV
A 4% payment processing fee will be accessed for all credit card transactions. Processing fee will be added to below payment amount. 4% processing fee is waived for deposit payments. This is not a Debit card transaction, those are for inperson payments with your pin.
Payment Amount
Electronic Signature
By electronically signing, I hereby authorize RSS, LLC to process my electronic payment, by signing below I hereby acknowledge that I will be held responsible for any charges arising from bank or credit card dispute. Any and all disputes must be handled by RSS, LLC accounting department. I hereby acknowledge that I have read and agree to the full terms and conditions.
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