Profound Payment Update Form

Member Information

Full Legal Name *

First

Last

Email *

Phone *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Payment Information: To update your payment method, select Credit Card or ACH and complete all fields below.

Credit Card

Cardholder’s Name (as it appears on the card): *

Card Number:

Expiration Date:

CVV:

3- or 4-digit security code

Card Type: (Select one)

Visa
MasterCard
American Express
Discover

*A 3% credit card fee will be applied to CC transactions.

ACH

Bank Name:

Account Number:

Routing Number:

Full Name or Business Name:

Account Type:

Savings
Checking

Authorization: By signing below, you authorize Profound to update your payment method with the new credit card /ACH information provided. You also authorize Profound to charge the membership fees to this card according to the agreed-upon membership terms.

Signature

Date