Setup a Recurring Credit Card Payment

Fill out the form below to setup a recurring automatic payment from your credit card for your Connections Marketing services.

Business Name(Required)

Your Name(Required)

First Last

Email(Required)

Phone(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Day of Charge(Required)

1st day of each month

15th day of each month

30th day of each month

Card Number(Required)

Card Number (verification)(Required)

Expiration Month(Required)

Expiration Year(Required)

CVV/CVC(Required)

Charge Amount(Required)

Please enter a number greater than or equal to 50.

Signature(Required)

I authorize Connections Marketing to make regularly scheduled charges to my credit/debit card. You will be charged the amount indicated in your contract. A receipt for each payment will be provided to you and the charge will appear on your bank statement.