Payment
Authorization: You must be
authorized to use the payment card. By selecting 'I Agree' and
submitting payment information through this Service I
agree to the terms and conditions of this Agreement and
any documents incorporated by reference. I further agree
that this User Agreement forms a legally binding contract
between me and AR Billing Services and that this Agreement
constitutes "a writing signed by you" under any applicable
law or regulation. Any rights not expressly granted herein
are reserved by AR Billing Services. I understand today's
payment has been subject to a $5.00 card processing fee. I
understand where card processing fees are prohibited by
State law or statute the fee will be waived and the 'Total
Charge' reflected on this form will be applied towards my
balance. I understand there are no fees to pay by check. Please save or print this authorization for your records.
Please verify your account and payment information before submitting a guest payment. Incorrect information can cause denial or delay of payment. Refunds will be submitted on over-payments by mailing a paper check and once those funds have been received. Electronic Banking can take up to, but not limited to, 7 business days to fully process (funds are received by our bank). If you are not sure the guest payment completed, please contact the billing department before submitting another payment. If you make a double payment, each payment will be applied to your account/balance due.