"*" indicates required fields
It is understood and acknowledged that all monthly service clients must have an automated form of payment on file at all times. To that end, we hereby request that “Adentities, LLC” (Company) use the following automatic form of payment to pay for any sums owed them.
Please describe why you're filling out this form and what the payment method being added is to be used for. Example: if you are using our services for two different campaigns, you may want to charge them on separate accounts for accounting purposes. For example, you may want to charge advertising on one account and website development on another. If this payment method is to be used for all campaigns/projects, you can specify in the box below or leave it blank.