Recertification CC Payment Submission - WASH Lifeguard Certifications

Recertification Credit Card Payment with Stripe

Name

First

Last Name

Last

Credit Card

Product

Quantity (see below)

Quantity Should be Equal to the # of Participants in Your Class. The Participant Information will be Entered on the Next Screen

Total

Authorization of Payment

I and/or my Organization hereby authorize(s) World Academy of Safety & Health (WASH) International charge my credit card and/or debit card and confirm that the information for the credit card and billing address is complete and accurate. I have been informed that I waive my right to dispute the charges and/or initiate a chargeback assuming the amount charged matches the amount listed above. If I and/or my Organization is on thirty (30) Days Net Terms, I and/or my Organization further agree to submit payment, in full, within thirty (30) days of the date of this submission. A 3.5% or the maximum amount permitted by law (whichever is greater) per month late fee will be added to my and/or my organization’s account if balance is not paid in full within thirty (30) days.

Agreement

I agree to the World Academy of Safety & Health (WASH) International Privacy Policy & Terms and Conditions

Signature

Clear

Date

PARTICIPANT INFORMATION

PLEASE NOTE: Participant Information is Entered on the Next Screen

If you are human, leave this field blank.

PLEASE NOTE: Once you ‘SUBMIT’ your payment details the payment has been processed & you will be re-directed to enter student/participant information & details. You will be emailed a receipt for this payment.