Add New Payment Method To Account – Lyquid Billing Dept

ADD NEW PAYMENT METHOD TO ACCOUNT

IMPORTANT: To avoid any missed communications from us, please always monitor your Email Spam folder. Emails from our Accounting Dept, Support Team and/or your Site Manager may randomly be placed in there! If such happens, mark it as “Not Spam” and add us to your accepted contacts as well as creating a simple Email Filter to avoid our communications from ending up in Spam (our Support Team can help you with this if you’d like).

If you need any assistance or have any questions, you may contact us at the following:

Billing Department: order@lyquidagency.com

Support Team: support@lyquidagency.com

Add a new Credit/Debit Card to your Account

*All required information MUST be filled out and submitted below. Please double check you’ve entered your credit/debit card number in correctly!

Step 1 of 3

Name
First Last
(person submitting this form)
Email
Billing Information for Credit or Debit Card
Billing Address
Street Address Address Line 2 City State ZIP Code

Credit or Debit Card Information
Name on Card
Card Number
Expiration Date (e.g. 06/18)
Security Code (on back of card)

Legal Information and Submission Acceptance
Do you permit us to enter this card information into your account and charge this card accordingly?
- Yes
- No
Would you like this card to be the main card we charge your payments to from now on?
- Yes
- No
Is the other card on file expired, canceled, and/or closed?
- Yes
- No
Would you like us to remove the other card on your account?
- Yes
- No
Terms of Service
I hereby acknowledge that I am the person listed above and/or otherwise hold reasonable legal rights in order to submit such information. I further acknowledge that it is not Lyquid Inc.'s responsibility if this information is submitted through an unofficial or unsafe Internet connection, such as free Wifi - and the data submitted is compromised. (You must accept terms by check-marking this box prior to submitting this form)
- I agree

If you need any assistance or have any questions, you may contact us at the following:

Add a new Credit/Debit Card to your Account

Step 1 of 3

Billing Information for Credit or Debit Card

Credit or Debit Card Information

Legal Information and Submission Acceptance