BetterCheck Username
  BetterCheck Password
  Email Address Listed on the BetterCheck Account
  Name On Account - first and last
  Company Name on Account
  Card Billing Address
  Card Billing Address Line 2
  City
   State
   Zip Code
  Card Number
  Expiration Date

 I authorize yourfavorite.com to bill my credit card above as indicated, or the card entered into the BetterCheck virtual terminal when I choose to replenish my balance, and I understand that all setup fees and funds added to the account are non-refundable under any circumstances. I understand that I am fully responsible for the security of my virtual terminal, my username, and my password, and I accept full responsibility for ALL transactions processed via my terminal or via direct link to my account. I agree to the full terms of service at the following URL http://yourfavorite.com/about/tos.htm, and I have taken the time to thoroughly read these terms of service and I agree with them. I also agree to the associated refund policy, abuse policy and privacy policy, and the fee structure regarding declined payments, phone charges, and reactivation, and by submitting this new authorization, I warrant that I fully understand all of these agreements.

  <---Click Here To Update Your Payment Details