Common Contracts
1 similar Monthly Payment Agreement contracts
Monthly Payment Agreement ContractMonthly Payment Agreement • April 25th, 2020
Terms I understand that I am entering into a Monthly Payment Agreement Contract between myself and Reliant, Inc. I further understand that I must sign and return this agreement for it to be executed. By signing below I understand that I will be held responsible for and consent to making my monthly payment by the 1st of each month on my account. I am aware that any late payment on this Payment Agreement Contract will result in a$25 late fee being assessed and/or my account being sent to a collection agency. Monthly Payment Options (Choose one below) o Credit Card Authorization: (Recommended)*Processed the first day of each month until account is paid in full. .Name on Credit Card: Billing Address for CC: Type of Card: MasterCard Visa Discover AMEXCredit Card Number: Expiration Date: / Security Code/CVV: o I will make my monthly payment every month. (If you choose this option it is your responsibility to make your payment by the first of the month. Please mail a check or CC information
