Credit Card Surcharge Notice

A surcharge of 3.0% will be applied to all credit card transactions to cover the cost of credit card processing.

Surcharge fees DO NOT apply to Bank Transfer and Electronic Check payments.

We DO NOT accept Debit Card payments at this time.

Invoice Number

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Amount

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First Name

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Last Name

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Email Address

Email address (max 100 characters)

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Payment Method

How do you want to pay

Street Address

Billing street address (max 30 characters)

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City

Billing city (max 30 characters)

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State

Billing state

Zip Code

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