Marion Polk First | Marion Polk First

CARD BANK TRANSFER

Card Number

MM / YY

CVC Code

The 3-4 digits on the back of your credit card

Billing ZIP Code

Enter the Zip/Postal code for your credit card billing address

By clicking Donate, you authorise MARION POLK FIRST to debit the bank account that you connect to for any amount owed for charges arising from your use of MARION POLK FIRST’ services and/or purchase of products from MARION POLK FIRST, pursuant to MARION POLK FIRST’ website and terms, until this authorisation is revoked. You may amend or cancel this authorisation at any time by providing notice to MARION POLK FIRST with 30 (thirty) days notice.

If you use MARION POLK FIRST’ services or purchase additional products periodically pursuant to MARION POLK FIRST’ terms, you authorise MARION POLK FIRST to debit your bank account periodically. Payments that fall outside the regular debits authorised above will only be debited after your authorisation is obtained.

Bank Name

Account Type

Account Last 4

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