Payment Authorization Form / Changing Payment Method

To update your payment information on file with Aptela (example: update or change your credit card, debit card or ACH/bank account information), you must complete a Payment Authorization Form, which includes an authorized signature, and fax it to the Billing Department at 571.643.0661.

Download now:  Payment Authorization Form

To protect the security of your account, Aptela does not accept billing information via phone calls, email or entering a billing request on our website.




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