Authorization Service in Georgia & North Carolina

Step 1 of 3

33%

Name(Required)

First Last

Email(Required)

Phone(Required)

What is the name of your location we are servicing?

Payment Authorization

Important Billing Notice

Please note that while we require payment information to be submitted during onboarding, your card will not be charged until after your service is completed.

This ensures you are only billed once the work has been fully performed and verified. If you have any questions, feel free to contact our Client Services Team.

Select your preferred method of payment:(Required)

ACH or Bank Transfer (0% Fee)

Credit / Debit Card (3% Fee)

Check ($39.99 Paper Handling Fee)

Do you have multiple Credit/Debit Card or ACH Accounts to provide for different locations?(Required)

No, I only have one payment account to provide to you.

Yes, I have multiple payment accounts to provide to you.

Need to add more than one payment method?

This form only accepts a single ACH or credit card entry. If you have multiple locations, or a mix of ACH and credit card, download the template below, fill it out, and upload it using the field beneath this section.

Download Payment Methods Template (.xlsx)

Instructions are included on the first tab of the template. Once completed, upload the file below.

Upload Spreadsheet of Multiple Payment Accounts Here(Required)

Max. file size: 100 MB.

Account Type:(Required)

Checking

Savings

Name on Account(Required)

Routing Number(Required)

Account Number(Required)

Name of Financial Institution(Required)

Phone Number(Required)

Payment Authorization (ACH/Bank Transfer)(Required)

I authorize Hoods Unlimited to process payments using the ACH information I have provided. I agree that upon completion of the approved services, Hoods Unlimited may initiate an ACH transaction for the amount agreed upon in the provided quote. I understand that this authorization remains in effect until I provide written notice of cancellation. I acknowledge that any disputed charges must be addressed within the terms outlined in my service agreement.

Please type Full Name for Signature(Required)

Card Holder Name(Required)

Cred/Debit Card Number(Required)

Expiration Date(Required)

CVV(Required)

Billing Zip Code(Required)

Payment Auhtorization (Credit/Debit Card)(Required)

I authorize Hoods Unlimited to process payments using the credit/debit card information I have provided. I agree that upon completion of the approved services, Hoods Unlimited may charge my card for the amount agreed upon in the provided quote. I understand that this authorization remains in effect until I provide written notice of cancellation. I acknowledge that any disputed charges must be addressed within the terms outlined in my service agreement.

Please type Full Name for Signature(Required)

Today's Date(Required)

MM slash DD slash YYYY

Discount Code (if applicable)

Check Fee Acknowledgement(Required)

I choose to pay by check and acknowledge that a $39.99 paper handling fee will be applied to my invoice for each service. I agree to pay the total amount, including this fee, as outlined in my invoice. I understand that failure to remit payment in a timely manner may result in additional fees or service interruptions as outlined in my service agreement.

Your Check Fee is WAIVED(Required)

The $39.99 Paper Handling Fee will be waived. Select that you agree to pay by check and agree to NET 30 Day payment terms.

"Bill To" Company Information

The "Bill To" section refers to the entity or person responsible for receiving and paying the invoice. In most cases, this is the same as the service location. However, if your invoices need to be sent to a different person, department, or address (such as a corporate office or an accounting department), please provide the correct billing details below. If your billing information is the same as your service location, you can skip this section.

"Bill To" Company Name

EX: Restaurant Group, LLC

Corporate Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Corporate Phone

Corporate Email