About Us Payment Options AutoPay Sign-up One-time Online Payment Careers Maintaining Your Vehicle Offers/Rewards Time for Another Vehicle? Sign-Up for AutoPay Below! Most of our customers are signing up for AutoPay these days. The reasons we hear mostly are: Keeps my account current – I don't have to worry about forgetting to make a payment. Time – not having to drive to the store to make a payment. Saving on gas Saving on buying stamps and envelopes No expensive money orders or Western Union fees To sign up for AutoPay, please complete the form below and we'll do the rest! Customer Name Phone Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Effective date for my recurring payment to start: 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th 13th 14th 15th 16th 17th 18th 19th 20th 21st 22nd 23rd 24th 25th 26th 27th 28th 29th 30th 31st * If you choose the 30th or 31st, your payment will be processed on the last day of the month. * If your payment date falls on a Sunday, the amount will be deducted the next business day. Type of account (check all that apply): Auto Multiple Auto Repair Note I hereby authorize Sunrise Acceptance, Inc. to initiate transactions in accordance with the terms on the applicable retail installment contract. I acknowledge I am authorized to initiate transactions to the bank account / card account described above without obtaining anyone else's approval, consent, or signature. I also acknowledge receiving a copy of this authorization form for future reference. The Customer may cancel this Automatic Debit Authorization at any time by notifying Sunrise Acceptance at least 48 hours prior to the presentation of a payment. All information provided is considered confidential and used solely for the purpose of coordinating payment. Please Choose One Option: Debit Card ACH Bank draft If Debit card is declined repeatedly, Sunrise Acceptance, Inc. may remove account from Automatic debit. Cardholder Name: Billing Address: City: State: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Debit Card #: Type of Card: Visa MasterCard CVC2 code from the back of card (3 digits): Expiration Date (MM/YYYY): contact us Sunrise Acceptance P.O. Box 2577 Cleveland, TN 37321 423-244-2604 1-877-423-2604 (toll free) 423-244-2615 (fax) csr@sunriseacceptance.com Powered by SiteNow® Account-Related Communications | Privacy Policy