Customer Information

Payment Information

 I Accept the Fee and its Service Fee and its Terms and Conditions

* * Attention * *
If you have any questions or would like to talk to a live Customer Service Representative, please call 1-888-354-5350 during standard business hours: Monday thru Friday 8am thru 5:00pm, Central Standard Time.

 

CREDIT CARD TRANSACTION

By submitting payment information through this Service you agree to the terms and conditions of this Agreement and any documents incorporated by reference. You further agree that this User Agreement forms a legally binding contract between you and US Impact, and that this Agreement constitutes 'a writing signed by You' under any applicable law or regulation. Any rights not expressly granted herein are reserved by US Impact, Inc. By clicking on the 'Make Payment' button you are accepting these terms and the stated fees for using this service. Please remember to print this form for your records.

 

CHECK TRANSACTION


By submitting payment information, you are authorizing US Impact, Inc. to reproduce this item as an 'ACH Transaction' for deposit on the date specified above. A transaction that is returned to US Impact, Inc. for any reason may be subject to a returned item fee by your banking institution and US Impact's bank. An ACH transaction will be produced utilizing the information from this form you are submitting. You also authorize subsequent attempts to clear this transaction if the orginal is dishonored or returned for any reason. By clicking on the 'Make Payment' button you are accepting these terms and conditions and the stated fees for using this service. Please print a copy of this page for your records.

775 Asbury Dr, Mandeville LA, 70471 USA

 

*This is an attempt to collect a debt, and any information obtained will be used for that purpose.*

 

*All payments are final. Refund exceptions will be considered in the case of fraud.*