| SET UP A PAYMENT PLAN Completing this form will allow you to set up a payment plan on your outstanding debt. The maximum number of payments permissable using this form is three (3). If you are unable to pay your debt in full in 3 consecutive monthly payments, please contact us via telephone to discuss other payment options. Completing the following form will require that you authorize up to three consecutive monthly payments to be automatically made from either your checking account or from a credit card account (Master Card, Visa, Discover or American Express). If you do not wish to pre-authorize monthly payments, you may pay in full via check or credit card or contact us. This is an attempt to collect a debt. Any information obtained will be used for that purpose. This communication is from a debt collector. Set Up Payment Plan via Credit Card About | Inquiries |
