Cannot Make Rock Purchases

[CherylHugh]

Website Issue Report

URL: https://community.rockrms.com/organizations/ce65ae94a0fa4f1c8dba1f39527f928c/settings/billing
Description of Issue
The save button is grayed out even when I enter all of the credit card informaion. According to the settings, I am allowed to make purchases. The Save Account Name appears to be what's blocking it. I have attached screenshots

please provide as much detail as possible