WP E-Signature by Approve Me - Sign Documents Using WordPress -

Payment Form

Invoice Number:

PAY BY CHECK:

Payer Name:

Street Address:

State:

Bank Name

Check Number:

Routing Number:

Account Number:

PAY BY CREDIT CARD: 3% Surcharge

Name on Card:

Billing Address:

State:

Credit Card Number:

Expiration Date:

SEC Code:

Notes:

CREDIT CARD TYPE:

Check One MastercardDiscoverAMEXVISA

Other:

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Signed by Vince Pinson
Signed On: February 23, 2026

Timestamp

Audit

December 2, 2025 10:28 am EDT

Payment Form Uploaded by Vince Pinson - sales@dsdexpress.net IP 180.190.47.100

December 3, 2025 4:55 am EDT

Tyler Smith - directstoredelivery@gmail.com added by Vince Pinson - sales@dsdexpress.net as a CC'd Recipient Ip: 143.44.184.155

December 3, 2025 5:06 am EDT

Tyler Smith - directstoredelivery@gmail.com added by Vince Pinson - sales@dsdexpress.net as a CC'd Recipient Ip: 143.44.184.155

December 15, 2025 11:18 am EDT

Tyler Smith - directstoredelivery@gmail.com added by Vince Pinson - sales@dsdexpress.net as a CC'd Recipient Ip: 180.190.44.66

February 23, 2026 11:21 am EDT

Tyler Smith - directstoredelivery@gmail.com added by Vince Pinson - sales@dsdexpress.net as a CC'd Recipient Ip: 180.190.47.100

February 23, 2026 11:29 am EDT

Tyler Smith - directstoredelivery@gmail.com added by Vince Pinson - sales@dsdexpress.net as a CC'd Recipient Ip: 180.190.47.100