Project Payment | 10 TEN PROJECT

PAYMENT AUTHORIZATION

Choose your payment type and enter your details below.

ACH Bank Transfer
Debit/Credit Card

ACH Bank Transfer

Option 1: Deposit and 12-monthly payments

I hereby authorize 10TEN PROJECT, INC. to transfer the deposit agreed to in this participant agreement from the bank account above.

Option 2: Full Payment

I hereby authorize 10TEN PROJECT, INC. to transfer the full payment agreed to in this participant agreement from the bank account above.

Name of Bank

Name on Account

Account Number

Routing Number

I hereby declare that this financial information is true and accurate, and appears in the name stated. Further, I authorize all charges initiated by 10TEN PROJECT, INC. consistent with the terms of the participant agreement.

Name

Signature

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Debit/Credit Card

Option 1: Deposit and 12-monthly payments

I hereby authorize 10TEN PROJECT, INC. to charge the deposit agreed to in this participant agreement to the account above.

Option 2: Full Payment

I hereby authorize 10TEN PROJECT, INC. to charge the full payment agreed to in this participant agreement to the account above.

Name on Card

Card number

Expiration Date

CVV

Billing ZIP Code