Credit/Debit Card Payment

In order to keep costs low for all customers, we assess a 2% service fee to cover part of the cost of accepting credit/debit cards.

Invoice #:
Amount:
2% convenience fee:
Total with convenience fee:
Credit Card Holder Name:
Customer Name:
Address (line 1):
Address (line 2):
City:
State:
Zip Code:
Phone #:
Email:

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