By clicking Continue to Payment, I hereby authorize Titan Legal / The Law Offices of Kirk A. Cullimore, LLC to charge my credit card or debit my account for the amount of .

I confirm that I am the named individual responsible for the account or am otherwise authorized by the named individual to review the account information and act for the individual responsible for the account.

I further agree and acknowledge that I have received consideration for this transaction and that this payment is to prevent specific legal action. I agree that I will not contest this charge and if I do, I agree to be liable for the charged amount, along with all costs and attorney fees which may be incurred to recover the debt due to the contesting.