Streaming Service Payment Settings Update Form

Account Email Address

example@example.com

Account Username (if applicable)

Current Payment Method

Last 4 Digits of Current Card (if applicable)

Select New Payment Method

Billing Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Would you like to set up a backup payment method?

Preferred Date for Payment Update

Date

Comments or Special Instructions

I confirm that I am requesting these changes to my streaming account payment settings.