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Autopay Submission Form
American Auto Exchange
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Card Number
*
Your answer
Expiration Date (xx/xx)
*
Your answer
Security Code (xxx)
*
Your answer
Zip Code (xxxxx)
*
Your answer
Vehicle Type
*
Year, Make & Model
Your answer
Frequency of Payment
*
Monthly
Weekly
Bi-weekly
Amount of Payment
*
The amount of my monthly balance
$100 (weekly)
Half of my balance (bi-weekly payments)
I Authorize American Auto Exchange to save and use my card information to make reoccuring payments (plus a service charge) towards the balance of my vehicle.
*
First and Last Name
Your answer
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