Reputation Builder Review Collection and Monitoring System

Payment Update Form

  • I authorize Affordable Web Design, Inc to electronically debit my bank account according to the terms outlined below. I acknowledge that electronic debits against my account must comply with United States law.
  • I authorize Affordable Web Design & Marketing, Inc. to automatically bill the bank account or debit card listed below as specified:
    Service: Reputation Builder
    Frequency: Monthly
    Amount: $39
  • This payment authorization is to remain in effect until I notify Affordable Web Design, Inc. of its cancellation by giving written notice in enough time for the business and receiving financial institution to have a reasonable opportunity to act on it.
  • This field is for validation purposes and should be left unchanged.