Auto Payment Form

To set up a new Auto Payment or to Update your existing Auto Payment with us, please fill out the secure form below.

Please Note: ACH is the preferred payment method and has no fees. However, credit/debit cards will have a 3.5% processing fee. This fee covers our cost for processing your payments.

Fields marked with an * are required

Advanced Security LLC Auto Payment Agreement

Please allow up to 2 business days to complete your request.

ACCOUNT INFORMATION

ACCOUNT INFORMATION

Account Number (If Known) :

Account Password: *

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PERSONAL INFORMATION

PERSONAL INFORMATION

First Name *

Last Name *

Company Name (If Applicable)

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PREMISE ADDRESS

PREMISE ADDRESS

Address *

City *

State *

Zip Code *

Country *

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BILLING ADDRESS (If Different)

BILLING ADDRESS (If Different)

Address

City

State

Zip Code

Country

*Billing address must match Bank or Credit Card information below for AUTO PAYMENT.

*Billing address must match Bank or Debit/Credit information below for AUTO PAYMENT.

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CONTACT INFORMATION

CONTACT INFORMATION

Phone *

Email *

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AUTO PAYMENT INFORMATION

AUTO PAYMENT INFORMATION

Please help up keep our cost down so we can continue to provide your low cost monitoring and great service by choosing our PREFERRED Auto Payment Method via Bank Account ACH.

Please help us keep our cost down so we can continue to provide your low cost alarm monitoring and great service by choosing our PREFERRED Auto Payment Method via ACH Bank Draft.

Auto Payment Method *

Fill in below to pay by: Bank Account ACH -No Fees (Preferred Method). Credit and Debit cards will have a 3% Processing Fee that covers our cost to process your payments.

Fill in below to pay by: Bank Account ACH -No Fees (Preferred Method).

Routing Number:

Account Number:

Fill in below to pay by: Visa/MasterCard, Discover or American Express. Credit and Debit cards will have a 3% Processing Fee that covers our cost to process your payments. ACH Bank is the preferred payment method with no fees.

Fill in below to pay by: Visa/MasterCard, Discover or American Express. Credit and Debit cards will have a 3.5% Processing Fee that covers our cost to process your payments.

ACH Bank is the preferred payment method with no fees.

Credit Card Number:

Expiration Month:

Expiration Year

Security Code:

Billing Amount:

Billing Frequency: *

Electronic Statement Email Address: *

E-Statement and Auto Payment Authorization *

I Authorize Advanced Security, LLC to send statements electronically to the E-Mail address above and to charge my account automatically for billing each month.

You also give us permission to store your payment method on file and use it if you make any additional purchases with Advanced Security that we bill to your accountl. This authorization can be revoked at any time in writing to: Billing@AdvancedSecurityLLC.com

There will be charge a $30.00 service charge for each returned payment. You also agree the above name and billing address matches your auto payment information above.

ACH Bank account is our preferred and Free payment method. Using a credit or Debit card will be charged a 3.5% processing fee, that covers our cost to process your payments.

Additional Comments:

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YES, I have read and agree to the Terms of Service (Version 1.0) *

YES, I have read and agree to the Electronic Record and Signature Disclosure *

E-Signature Box *

Date Submitted *

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Disclaimer: If you do not receive an E-Mail Confirmation this was received within 48 business hours, please call 1-877-364-0918.

Disclaimer: If you do not receive an E-Mail Confirmation this was received within 24 business hours, call 1-877-364-0918.

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Cart

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To set up a new Auto Payment or to Update your existing Auto Payment with us, please fill out the secure form below.

Advanced Security LLC Auto Payment Agreement

Please allow up to 2 business days to complete your request.

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To set up a new Auto Payment or to Update your existing Auto Payment with us, please fill out the secure form below.

Advanced Security LLC Auto Payment Agreement

Please allow up to 2 business days to complete your request.

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