Weekly Service Credit Card Authorization

Name *

Pool Location Address *

Cardholder Phone Number *

Email *

Service Level *

Complete (Full) Essential (Partial Plus) Other

Start Date *

ASAP Beginning of Next Month Other (describe below)

Amount to be charged on the 1st of every month *

🔒 Secure Session Active

* Card Number

* Cardholder Name

Expiration *

Security Code *

* Billing Zip Code Billing ZIP code linked to your credit card

Authorization of Charges I do authorize *

As the named cardholder, I authorize Nevergreen Pools, Inc. to charge my credit card according to the terms & conditions. If your credit card is declined, you will need to pay the emailed invoice by the due date. Submit payment within 14 days of the invoice date to avoid a $25 late fee.

I consent to receive transactional messages from Nevergreen Pools that includes account verification, one time passcode and account notifications. Message and data rates may apply. Message frequency may vary. Reply STOP to opt-out at any time; HELP for help.

Thanks — your card authorization has been received. We'll be in touch shortly.