- Fixed monthly payments indicated below will be drafted on the 10th of each month (starting the month following submission of this form)
- Fixed weekly payments indicated below will be drafted each Monday (starting with the second Monday following submission of this form)
- Any one-time payment indicated below will be drafted on the second Monday following submission of this form
Please choose one or more items for which you wish to set up payments.
You will be prompted for payment amount and frequency.