Payment Form

PayPal / Credit Card Payment Form

Please note that PayPal calls it a Donation only because they are allowing you to enter an amount of your choosing. Your payment will be applied towards your open balance and a paid receipt will be emailed to you.
Company Name*
Your E-mail*
Your Name

First NameLast Name
Invoice # (optional)
Amount to pay $*

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PayPal / Credit Card Payment Form