Google Local Service Application Form

Google Local Service Ads – Managed Software & Services

Google Local Service Ad fees will be drafted automatically from Google, Inc.
Please enter the card information you wish to use for al Google Ads including but not limited to:
Search Ads, Re-Targeting Ads, AdSense, YouTube, Dynamic Product Ads, Local Service Ads etc.

Local Service Ad Form

BILLING INFORMATION

Billing Address

Credit Card

Card Type

BUSINESS INFORMATION

Maximum upload size: 268.44MB
Maximum upload size: 268.44MB

MONTHLY SERVICES

I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Suite Edge in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that Suite Edge may at its discretion attempt to process the charge again within 30 days, and agree to an additional $10 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form.