Quick Payment - Northstar Location Services, LLC

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Pay To: Northstar Location Services, LLC Amount: : : 000 Routing Number Account Number Check Number

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BY CLICKING ON THE SUBMIT PAYMENT BUTTON, I AGREE TO THE TERMS AND CONDITIONS OF USING MY CREDIT OR DEBIT CARD AS A PAYMENT METHOD AND I AUTHORIZE Northstar Location Services, LLC TO PROCESS A CHARGE FOR THE DOLLAR AMOUNT ENTERED ABOVE.

Payments dated for today cannot be cancelled. If you need to discuss, change or cancel the arrangements, please contact our office at 1-877-630-6700 three (3) business days or more before the payment is scheduled to be processed.

I hereby authorize Northstar Location Services, LLC to debit my debit or credit card in the amount specified above as payment to my account with Northstar Location Services, LLC for a single account, which will be processed pursuant to the terms of Regulation E; Electronic Funds Transfers of the Federal Reserve System.

I hereby electronically consent to and authorize my signature to the funds transfer authorization. I also agree that I am an authorized user of the credit or debit card account that I have provided and that I am authorized to make payments on this account.

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I Agree to the terms and conditions above