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PERSONAL  INFORMATION
PAYMENT AMOUNT
CARD INFORMATION
I hereby authorize GoodCents Pest Control central office located in Fresno, CA. to initiate a charge from my credit/debit card. I understand that if this is a debit card the charge may be debited from my institutions ATM/ACH network. In the event that a credit entry is made in error, I will provide GoodCents Pest Control with proof of the error so that it may be reviewed. Further, I agree to not hold GoodCents Pest Control Fresno, CA. responsible for any delays, or loss of funds due to incorrect or incomplete information supplied by me or my financial institution or due to an error on the part of my financial institution in depositing funds to my account. I agree not to hold GoodCents Pest Control liable for loss of data.I am aware that an online processing fee may be charged along with the principal payment. The online payment fee schedule is as follows: ($0-100-$1 fee) ($101-200-$2 fee) ($201-300-$3 fee) ($301-400 -$4 fee) $500+ $5 fee) I understand that by submiting the form as my electronic signature, I UNDERSTAND AND AGREE to the statements and fee schedule aforementioned.