Name of the person making the payment:

First Name:    Last Name:

Name of the person using the account (if different):

First Name:    Last Name:

User Name (if known) and Email Address:

User Name:    Email Addr:

Note: In the future, if your payment comes due and you have not made a payment from this page, or contacted the Billing Department to arrange a payment, or cancelled your account, we will automatically charge the monthly amount for your plan (listed above), in order to keep your account active. If you prefer the annual plan, simply notify us and we will bill the difference so that you can take advantage of the annual rate.

I understand that completion of the payment form on the following page will authorize an immediate charge to my credit card or checking account.   Also, I have read and I fully understand the note above concerning future payments.