Check Payment

* Required Fields

*Account Name:

*Free People Account Number:

Where to find your account number:

The top right hand of your payment reminder letter

The top left hand of your invoice

Invoice Number(s):

*Payment Amount (up to 50000.00):

Note:

Enter a decimal point, but NO commas or special characters

Payment Information

*Account Type:

*Routing Number:

*Account Number:

*Repeat Account Number:

*I Agree:

I acknowlege that I am an approved signer on the above account and I hereby agree to have my account debited as of this date for the amount specified. If the draft to my account fails, I agree to pay any related NSF fees.

* Signed:

Billing Information

*First Name:

*Last Name:

*Billing Address:

*Billing City:

*Billing State:

*Billing Zip Code:

*Email Address:

*Primary Phone Number:

Comments: