Submit A Payment – UHP Warranty

Make a Payment

To make a payment, please fill out the information below. You will receive a confirmation email once the payment has been successfully submitted. If you need assistance, please contact us at 608-831-0285. Please note: All credit card payments will be charged a 2.5% processing fee. To avoid the processing fee, please submit bank information for ACH payment or debit card information.

Method of Payment(Required)

Credit Card (2.5% fee)

Debit Card (No Fee)

ACH Payment

Name (Policyholder)(Required)

First Last

Warranty Contract Number

Covered Property Address

Street Address City State ZIP Code

Email(Required)

Phone

Notes

Payment Amount(Required)

2.5% Processing Fee

$0.00

Total

Billing Address

Same as covered property

Street Address City State ZIP Code

Card Payment Details(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

ACH(Required)

Account Number Account Type Routing Number Account Holder Name

Total

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