Automated Credit Card Payments

This ‘Authorization Agreement for Automated Credit Card Payments’ form is for those who would prefer NOT to provide their personal information online. After you have completed and signed the Authorization form would you please:

• Drop it off at our office in person.
• Deposit it in our after-hours Drop Box.
• Fax it to 319-935-3010
• Email it to help@eastbuchanan.com

Please contact our office at 319-935-3011 if you have any questions.