Hard Copy PAF Document Service Fee Order Form

*required

Payment Authorization
By completing and executing this form, the cardholder acknowledges and agrees that AccuZIP, Inc. (hereafter “Company”) is authorized as of the authorization date below, and subject to the terms and conditions set forth below, to charge the credit card, debit card or other payment card (each referred to herein as “credit card”), specified above for amounts billed to the accountholder or the cardholder specified above for services rendered.

Company will send the accountholder or cardholder a paid invoice for services rendered. Company will charge the above credit card for the amount specified. The accountholder/cardholder should ensure such charge will not cause the credit card account to exceed any established credit limits or available balances as on the date of charge.
There will be a $25.00 penalty for any rejected charge pursuant to this authorization. Cardholder acknowledges that they will continue to be liable for any such rejected or unpaid charges including all penalties. Cardholder further authorizes Company to initiate a charge or credit as necessary to correct any prior overpayment or underpayment of any invoice or any other charge or credit effected under this or prior authorization(s). Company and cardholder further acknowledge that if this payment authorization is for a recurring charge, then Company will inform cardholder of any variances in the recurring amount. Each charge will appear as a payment on the next paid invoice sent to accountholder/cardholder after the charge date. Recurring charges will begin with the first invoice we send the accountholder/cardholder after we receive and process this form.
Cardholder will continue to be liable for any invoices due and pending for the agreed upon term indicated above.

*Minimum purchase of one (1) year of service required. Charge will be automatically renewed annually unless cancellation is requested by the AccuZIP customer after the first year. No refunds will be honored. Cancellation requests must be received in writing by AccuZIP Customer partner. Written correspondence must be received at address and/or email noted below.

If you have any questions on billing or credit card charges please contact: AccuZIP, Inc. 3216 El Camino Real, Atascadero, CA 93422-2500. Tel: 800-233-0555. Fax: 877-839-6531 or sales@accuzip.com

I have read the Payment Authorization Above