Floral Image - Dallas Credit Card Form

ATR Credit Card Payment Form

Please complete this form in order to make payment via credit card

Payment Amount*

USD

E-mail*
example@example.com
Name of Client*
Name of Client
Type of Payment*
If you selected other, what is this payment for?
By signing below I hereby authorize All Together Recovery to charge my credit card for the amount shown above.
Authorization Signature*

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Note:
-Funds may take up to 3 business days to transfer from the website into the client account.
-There is a 3% transaction fee charged by the portal, which our organization is unable to modify.
Should be Empty:

ATR Credit Card Payment Form