Auto Pay Enrollment Form
Park City Rotary's Auto Payment plan is a convenient program that automates your monthly invoice payments. You can pay using any major credit or debit card, or by e-check using your bank account.

**All Rotarians will always receive their monthly invoice via email. After enrolling in Auto Pay, your invoice will be paid automatically and you'll receive an email with a copy of the invoice marked "Paid." **
Sign in to Google to save your progress. Learn more
Is this a new enrollment or change of payment method? *
Rotarian Name *
Email Address *
Choose your payment method: *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Park City Rotary.

Does this form look suspicious? Report