Art Unlimited _ Progressive Design
Direct Payment Form - Art Unlimited
Art Unlimited
All information is confidential and will not be used for any other purposes. Art Unlimited appreciates your desire to simply your Bill Payment system. Simply fill out the necessary information and enjoy safe and secure payment of your account.

 + Debit Card or Credit Card Authorization Form

Business Name:
E-Mail:
Date:
New Account:
Change Account Information
Mailing Address:
Work Phone #:
Invoice E-Mail Address:
 All invoices will be sent to you electronically:
I wish to pay my account balances by Direct Deposit. I hereby authorize Art Unlimited to originate electronic credit transactions to my bank or credit card company account indicated below and to credit the same to such account. If necessary, Art Unlimited may make deductions from my account for any payments due. This authority is to remain in full force and effect until Art Unlimited has received written notification from me of its termination in such time as to afford Art Unlimited and my bank or credit card company a reasonable opportunity to act on it.

I have read and agree to the terms of services agreement.
I authorize Art Unlimited to send me promotional material about services and products.
Card Type:
Full Name on Card:
Card Number:
Validation Code:
Expiration Date:
 Month Year
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e-mail artunlimited@auprogressivedesign.com
9998 E. Lind Rd. | Angora, MN 55703
o 218.666.2512 | t 877.664.2512