I understand the following terms:

I understand that my credit card will be billed by subscription service on a monthly basis.

I further understand that once my account has an accumulated credit balance equal to two (2) contracted payments that my subscription will be temporarily disabled until I require further services or until 90 days has passed.

I also understand that my contracted payments will remain as a credit on my account until a period of 90 days has passed, at which time my credit will be returned to me and paid by check.

I understand that I may cancel at any time. I further understand that my services will be provided at the normal rate for services as determined by RL Hanson-Online™ from the date and time of cancellation.

  Credit Card Information (as it appears on your credit card statement or billing account):

IMPORTANT: Your credit card will be charged on the 1st of each and ecery month - subject to terms listed above.

Fax form to: (785) 922-6763

or send by mail:

727 Oak Hill Drive, Chapman, Kansas 67431