Automatic Payment Form- Credit Card
I authorize Gibson Grounds LLC to electronically debit my credit card according to the terms outlined below. I acknowledge that electronic debits against my account must comply with United States law.  [All information will remain confidential]

Terms of Billing:
  • -One time transactions ONLY with customers written or verbal authorization per invoice. Gibson Grounds will not debit non-recurring invoices without consent.
  • -Recurring transactions will be debited each month abiding by the signed property maintenance contract start and end dates for annual or seasonal services. Gibson Grounds will discontinue charges once the contract ends.
  • -Credit Card transactions include a 3% processing fee.

Ensure you enter the correct information below and there are sufficient funds before each transaction
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Cardholder Name (as it appears on the card): *
Credit Card Number:
 *
Enter valid card number (16 digits - no spaces)
Expiration Date: *
00/00
CVV/CVC (3 or 4 digit code on the back of the card): *
Security Code
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