Contact Information

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Phone Number

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Coupon Code

Your coupon has been verified and has been applied.

Your coupon is not valid and will not be honored.

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Credit or Debit Card ACH (Checking Account)

Name on Card

Card Number
CVV Code

Expiry Month
1 - Jan 2 - Feb 3 - Mar 4 - Apr 5 - May 6 - Jun 7 - Jul 8 - Aug 9 - Sep 10 - Oct 11 - Nov 12 - Dec Expiry Year

Check Type
CorporatePersonal Check Number

Routing Number
Account Number

Name on Check

Address on Check
   

Identity Verification

For your protection, ACH transactions require an additional level of identity verification. Please choose an identification type and the corresponding number to verify your identity.

Type
Select one... Driver’s License Social Security Number Tax ID Military ID

Number

By providing the information above and clicking “Complete My Order,” I authorize my payment in the amount indicated above to be processed as an electronic funds transfer (EFT) or draft drawn from my checking or savings account as identified above and, if necessary, electronic credits to my account to correct erroneous debits. I understand that my payment will be processed within two banking days. If the payment returns unpaid, I authorize you or your service provider to collect the payment by EFT(s) or draft(s) drawn from my account. I understand that this authorization will remain in full force and effect until I notify you that I wish to revoke it or cancelling my subscription to this service by calling 904-262-1234 and allow you reasonable opportunity to act on my notice.

PINNACLE BILLING SERVICES may appear on your credit card or bank statement for all applicable charges.

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Order Summary

	ID Preserve INDIVIDUAL Membership with one-time setup fee$11.94 today, $9.95 monthly
	ID Preserve FAMILY Membership with one-time setup fee$16.94 today, $14.95 monthly

I understand that set-up of my new membership can take up to 24 hours. I will not be able to make use of these benefits until set up is completed.

Complete My Order