Complete the Form below to Update Your Payment Method Step 1 of 3 33% Name First Last PhoneEmail What is the name of the location(s) we service for you?(Required) Address Street Address City State / Province / Region ZIP / Postal Code Select Your Method of Payment(Required) ACH or Bank Transfer (No Fee) Credit/Debit Card (3% Fee) Bank Routing Number(Required) Bank Account Number(Required) Name on Account(Required) Card Holder Name(Required) Credit/Debit Card Number(Required) Expiration Date(Required) CVV(Required) Consent(Required) I agree to the payment authorization policy. I authorize Hoods Unlimited / American Fire Shield to electronically debit my bank account for the agreed-upon amount for services rendered. I understand that this authorization will remain in effect until I notify Hoods Unlimited / American Fire Shield in writing to cancel it, with sufficient time for processing. I acknowledge that I am responsible for ensuring sufficient funds are available, and any failed transactions may incur additional fees.Consent(Required) I agree to the payment authorization policy.I authorize Hoods Unlimited / American Fire Shield to charge my credit/debit card for the agreed-upon amount for services rendered. I understand that this transaction is final and non-refundable unless otherwise stated in the service agreement. I confirm that I am the authorized cardholder and agree to resolve any disputes directly with Hoods Unlimited / American Fire Shield. I acknowledge that any chargebacks may be subject to additional fees.Full Name for Signature(Required) First Last By typing my full name in the field below, I acknowledge that this electronic signature carries the same legal effect as a handwritten signature. I confirm that I am the authorized account holder or have the legal authority to authorize this payment on behalf of the account holder. I agree to the terms outlined above and authorize Hoods Unlimited / American Fire Shield to process this transaction.
