Please use the form below to enroll in our Credit Card Payment program. If you wish to use an automatic payment from your checking account, please follow this link.
Or, if you prefer, please download this printable form and either Fax or mail to us using the information on the form.
1. If we receive your form by the 10th of the month, Credit Card Debit will begin on the 1st day of the following month. For example,
if we receive your form before May 10th, Credit Card Payment will begin on June 1st.
2. The amount charged to your credit card will be the amount customarily billed on your account.
3. Payments will be charged on the 1st business day of each month.
4. If you would like to confirm your Credit Card start date, please contact us at (303)922-7191
Cancellation and Change Policy
1. If you want to cancel Credit Card billing, please notify our office in writing no later than 7 business days before the 1st of the
month for which you want it cancelled.
2. If you need to change to change your card on file for billing, please fax or mail this form with new account numbers and other
needed information, and a brief note of your request. Our fax number is 720-815-0005.
3. Your request must arrive in our office no later than 7 business days before the 1st of the month for which you want it changed.
Please contact us if you have questions about your participation in the CSA Credit Card payment program