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EFT

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Amount*

$ USD

Max amount for EFT is $2,500.00 Amount Invalid and required.

Name on Card* Account *

Name on Card Required.

Card Number*

Numbers only no spaces or dashes Card Number Required.

Security Number*

Three/Four digit security code on back of card Security Number Invalid and Required.

Expiration Month*

Expiration Month Required.

Expiration Year*

Expiration Year Required.

Account Type*

Account Type Invalid and Required.

ABA Routing Number*

9-digit Bank routing number found at the bottom of your check Routing Number Invalid and Required.

Account Number*

Account Number Invalid and Required.

Confirm Account Number*

Account Numbers Do Not Match.

Bank Name*

Name of Bank Invalid and Required.

Invoice #

Invoice number must be 20 characters or less! (Optional, but helpful, if paying more than one invoice, please list separating by commas)

E-mail Address

Email Address is invalid (Optional) If you would like a receipt, please provide your e-mail address

By checking this box, you agree to the Terms of Service.

OPTIONAL: By checking this box, you agree to use this payment method on a recurring basis as long as you are a subscriber or until you direct us otherwise. For your security, we use tokenization and never store your account information. By choosing EFT on a recurring basis, Point Blank will extend a 10% discount on your subscription fees.

Please fill out all required fields to submit payment.