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Pay My Bill: Recurring Payment

Use this payment system if you would like to pay for your invoice/contract on a monthly recurring basis. Looking for a one-time payment? Click here.

Your card will show "MID-WEST FAMILY SOUTH BEND 5742474310" on your statement and will be charged beginning on the start date indicated below, and on the same day each month through your recurring term.

If you have questions about your recurring payments, please contact Pat Morris by email or call 574-247-4310.

  • Be sure this is the same address as your credit card.
  • Be sure this is the same phone number as your credit card.
  • We will send you a copy of your payment confirmation here.
  • Please provide the invoice number or product name for reference, if available.
  • Please provide, if known.
  • Your payment will process every 30 days after this start date.
  • Your card will show "WSJM INC 2699251111" on your credit card statement.
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  • By signing, I authorize Mid-West Family - South Bend to automatically deduct payment from my credit card to pay for my agreed contract with the company on a monthly basis. The authorization is to remain in effect through the term indicated on the form above. I understand that I am responsible for paying any additional invoices for services rendered outside of this invoice number or product contract not covered by this payment. If I need to make an adjustment to this schedule, I understand that I must contact the business manager within 5 business days of the next recurring payment date, that this current recurring schedule will be cancelled, and a new form will be filled out by my organization to begin a new schedule or payment amount.
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