Manual Payment Portal - SLS Financial

SecureLink lets you quickly and easily collect customer payments.

Please collect the below details to process a one time payment.
Hidden
Email
Hidden
Rep Email*
Your Account # with Us (Not Your Bank Account Number)*
If paying on more than one account, please make separate payments.
Desired Date of Payment*
MM slash DD slash YYYY
Purpose of Payment*
Your Business Name*
Your Name*
First Last
Payment Method*
We charge a one-time 3.6% fee for credit/debit card transactions.
Routing #*
Confirm Routing #*
Please enter your routing # a second time for confirmation.
Account #*
Confirm Account #*
Please enter your account # a second time for confirmation.
Type of Credit Card*
Credit Card Account #*
Expiration Date - Month and Year*
CVC Code*
Name on the Above Account*
Billing Address*
Street Address City State / Province / Region ZIP / Postal Code
Enter the Amount to be Debited*
Please Note: Entering the incorrect amount may delay funding or require additional documentation be completed.
Total With Card Processing Fee
You can avoid this by choosing ACH/Checking Account
CONSENT FOR PRE-AUTHORIZED DEBIT
I will now need to read a short consent - when I'm finished I'll have you say I agree. I/we hereby authorize a one time charge on the specified date, using the account number provided, in the specified amount.

I am an authorized signer on this account and agree not to reverse or stop payment on said charge. By saying 'I agree,' I indicate my acceptance of these terms as of the date of this phone call, and understand this agreement for a one time charge supersedes all previous representations and agreements – either oral or written. There are no promises, agreements, or understandings outside of this statement & I understand SLS may need to save my account information for future billing needs. Please say I agree if you're ready for me to schedule the payment.
CONSENT FOR PRE-AUTHORIZED DEBIT
I will now need to read a short consent - when I'm finished I'll have you say I agree. I/we hereby authorize a one time charge on the specified date, using the account number provided, in the specified amount.

I am an authorized signer on this account and agree not to reverse or stop payment on said charge. By saying 'I agree,' I indicate my acceptance of these terms as of the date of this phone call, and understand this agreement for a one time charge supersedes all previous representations and agreements – either oral or written. There are no promises, agreements, or understandings outside of this statement & I understand SLS may need to save my account information for future billing needs. Please say I agree if you're ready for me to schedule the payment.
Upload a Voided Check OR Bank Statement to Confirm Your Account Info (OPTIONAL)
Drop files here or

Max. file size: 128 MB.
Name of Rep Completing this Form

Having trouble? Call Brock Kimball at 816-423-8016.

SecureLink lets you quickly and easily collect customer payments.

CONSENT FOR PRE-AUTHORIZED DEBIT

CONSENT FOR PRE-AUTHORIZED DEBIT