Payment
LifeTime Movers
Order Number
*
Payment for which service:
*
Pickup Payment
Storage Payment
Deposit Payment
Amount to pay
*
Convenience Fee 3.5%
Would you like to add tips?
*
5% (Good)
7% (Great)
9% (Wow)
11% (Best Service Ever)
Custom Tip
Tip Amount
Total
Your Details
Customer Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number
Email
*
example@gmail.com
Total Amount
*
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( X )
USD
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
I, the card holder, understand that I am making a payment for services rendered to a moving carrier for the services and materials provided to me as per my moving contract. With my electronic signature here I am confirming that I have read the publication from the Department of Transportation titled “Your Rights and Responsibilities When You Move,” and that I understand the content thereof. I am also aware that I am responsible for paying the contracted sum for all services required in order to complete my move from start to finish. I am also aware that I will be responsible for any post-contracted services required to complete the delivery of my shipment, even where not indicated in the contracts upon pickup. I also confirm here that I have read all pages, front and back, included in my moving contract with LifeTime Movers and I understand the terms thereof. I have had the opportunity to ask a representative of LifeTime Movers any questions that I may have had and I am satisfied with the responses that I have received.
Signature
*
Upload your picture ID only for Pickup Payment service:
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It's not required to upload your picture ID for Storage or Deposit Payment*
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of
By signing below, the Cardholder agree's and confirm's their agreement to abide by their Cardholder agreement and be liable for any payment to LifeTime Movers.
Signature
*
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