*Automatic Quarterly Dues Payments

When opting for the Auto Pay option, I authorize CAPA to withdraw my quarterly payments from my debit or credit card. These payments will be calculated by dividing the total due (membership fees and any voluntary donations you have made) by four. I further authorize CAPA to initiate debit entries and, if necessary, initiate adjustments for any entries made in error to my debit or credit card account. This authority will remain in full force and effect until the total amount of my CAPA membership dues, plus any voluntary contributions I have agreed to has been paid.Your credit card will be debited quarterly.

• It is your responsibility to update your credit card/
debit card information whenever there is a change.

• Your payment will not be posted to your account
if the credit card transaction is not approved for
any reason, including insufficient funds/credit line
availability, closed or unauthorized accounts.

• In the event that a quarterly payment is not approved
by your credit card/debit card financial institution, you
will be notified immediately.

• Your CAPA membership will be terminated 10 days
after notification if no alternative method of payment
has been received.

• You will still be responsible for payment of the
balance due and when payment is received, your
membership will be reinstated.

• If you dispute your bill amount, want to stop a
payment or change the credit card number, submit
your request in writing to capa@capanet.org or fax it
to (800) 480-2272. CAPA and the Receiving Financial
Institution must be afforded a reasonable opportunity
to act on it.

• CAPA is not responsible for any unauthorized fees on
your credit card statement.

• You are required to pay any fees that incur while
processing your payment