There will be a $3.00 processing fee added to your credit or debit card transaction. IF YOU DO NOT AGREE TO THIS FEE; DO NOT CONTINUE THE ONLINE PAYMENT PROCESS. By entering your initials you are agreeing to the $3.00 transaction fee. |
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Account Number |
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Full Name: |
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Address(Same as Card Billing Address): |
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City |
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State |
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Zip |
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Phone |
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Email Address |
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Payment Amount |
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Card Number |
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Expiration Date (mm/yy): |
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CVV Number (3 Digit security Code): |
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Initial Here (By Initialing you verify that it is okay for us to charge your card the above amount). An email will not be sent until the card is processed: |
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Please Review and Confirm Your Information: |
I certify the above information is correct. I Agree to Terms of Service
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