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By clicking OK, you are authorizing a one-time payment from your checking or savings account in the amount indicated on the form.

By providing your information, you are authorizing us to use this information to make a one-time electronic fund transfer from your account to process the payment through a third party processor.   Once processed, this payment cannot be canceled or changed by us. You understand, too, in most cases, it may take 3-5 business days for your payment to be processed by your financial institution.

If you have any questions about this transaction, please contact your financial institution.

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