FIRST ASSEMBLY OF GOD VERNON
Secure Form
Summary
Date
Enable Recurring Payments
Yes
No
Add to Customer Database
Yes
No
Amount
This amount will come out today and then on the day you specify below.
Designation
Schedule
Disabled
Daily
Weekly
Biweekly
Monthly
Bimonthly
Quarterly
Biannually
Annually
Date of Next Payment and Future Payment
Total transactions of recurring billing
Credit Card Information
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Email Address
Submit
