Yay, it’s payday.

Please complete the form below to set up your payment account.
If you have any questions please contact our accounting department, 866-358-6789 ext. 2.


Customer Information

Payment Information

I authorize Tipsy Media, LLC to automatically bill the account listed below as specified.
If you are unsure of the amount, please contact your sales representative.
Monthly, Quarterly, and Yearly accounts are charged on the first of the month in the selected frequency.

Payment Information
By entering your full name and submitting this form you authorize Tipsy Media, LLC to charge your account for the terms listed above. You certify that the information you have provided is correct and that you are an authorized user on the account. You agree not to dispute any charges with your banking company; so long as the transaction corresponds to the terms indicated on this form.