Fast Track Program

MULTIPLE Card Payment - Last Card

INTERNAL USE ONLY

If the client is purchasing either PIF or Payment Plan on multiple cards, use the form below for ALL PAYMENTS EXCEPT THE FINAL CARD. Make sure to put the amount being charged into the correct field.
If it is a Payment Plan, the last card run should be the one the monthly payments will be charged to.

Name(Required)
Make sure to use the ###.## format
Is the next payment the last card?(Required)
If the next payment to process (either subscription or PIF) is the last card for the client, please select Yes.
Billing Address(Required)