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Client Information

Your payment to be automatically deducted from your bank account, or charged to your Visa, MasterCard, American Express or Discover Card. Just complete and sign this form to get started!

Recurring Payments Will Make Your Life Easier:

• It’s convenient (saving you time and postage)
• Your payment is always on time (even if you’re out of town), eliminating late charges

Here’s How Recurring Payments Work: Each month end, you will receive your Invoice via email from Eden@EdensSite.com featuring your services since the previous invoice. That invoice will be automatically processed during the week of the 15th-21st of the following month. You authorize regularly scheduled of any open/unpaid invoice you have to your checking/savings account or credit card. A receipt for each payment will be emailed to you upon processing your card through ProPay’s Secure Credit Card Processing Server. You agree that no prior-notification will be provided unless the processing date or invoice amount changes. Should the billing date fall on a holiday or weekend, know that your card could be processed during the next business days. If you have any questions please call Eden directly at (207) 399 - 4628 .

Please complete the information below.

I _______ authorize Eden’s Site Virtual Assistant Services to charge my debit/credit card for the amount indicated on my Invoice during the 15th of each month for payment of my Invoice.

Credit Card Details

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Eden’s Site Virtual Assistant Services in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates falls on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) or Declined Card I understand that Eden’s Site Virtual Assistant Services may at its discretion attempt to process the charge again during the next billing cycle, and agree to an additional $5.00 charge for each attempt returned NSF which will be added to your Invoice balance. Should payment not be resolved by the last day of that month, a $10.00 Late Fee will accrue on top of the $5.00 Declined Card Fee. If Eden's Site Virtual Assistant Services do not hear from me with resolution of payment, they can attempt to process my card again for my late invoice at their discretion to clear my balance, until my balance is cleared. I understand that each month end that goes by with no resolution of payment, an additional Fees (late fee and declined card) will apply. After 3 months of non-payment, I understand that Legal Action will be taken and my account will be sent to debt collections and I am agreeing that I am responsible for any and all legal fees as well as paying my balance owed including any late fees and declined card fees. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form. If you have any questions please call Eden directly at (207)399-4628.