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 COLLECT NORTHWEST TO PROCESS A CHARGE FOR THE DOLLAR AMOUNT ENTERED ABOVE.

I hereby authorize Collect Northwest to debit my bank account (ACH/electronic check) or charge my debit or credit card in the amount specified above as payment to my account with Collect Northwest. This transaction will be processed in accordance with applicable laws and regulations, including Regulation E; Electronic Funds Transfers of the Federal Reserve System, where applicable.

Please note: Payment processing times may vary by payment method. Debit and credit card payments are typically processed within 1–2 business days. ACH (electronic check) payments may take 5–7 business days to be received, processed, and applied to your account. During this time, your current account balance may not reflect pending or recently submitted payments.

I hereby electronically consent to and authorize my signature for this funds transfer authorization. I also confirm that I am an authorized user of the bank account or card provided and that I am authorized to make payment on this account.