I authorize Winegrad, Hess & Heimlicher, LLC to charge my credit/debit card for the amount indicated above. If I am a debtor, then (a) I understand that this firm is a debt collector, that this communication concerns the attempt to collect a debt, and that any information obtained will be used for that purpose, and (b) I agree that my account is not in dispute, that I am not awaiting verification of my debt, that I am not a petitioner in any bankruptcy action, and that my debt has not been discharged in bankruptcy.