Credit card pay my bill

ach pay my bill

Schedule your payment to be automatically deducted from your bank account, or charged to your Visa, MasterCard, American Express or Discover Card. Sign this form to get started.

Make Payment Simple & Stress Free!

Save Yourself Time

Your Payment Is Always On Time

How Recurring Payments Work:

You authorize regularly scheduled charges to your checking/savings account or credit card.  A receipt for each payment will be sent to you and the charge will appear on your bank statement as an “ACH Debit.” North Shore Chemists, LLC will contact with an amount prior to charging your account.

Enjoy the same security and confidentiality as you do for your in-store forms. We never share your personal information and abide by HIPPA privacy practices.

By submitting this form, I authorize North Shore Chemists, LLC to charge my credit card. If the above noted payment date falls on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account immediately. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that North Shore Chemists, LLC may at its discretion attempt to process the charge again within 30 days, and agree to an additional charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form.