SCHAS Invoice Payment Portal
Client Name
*
First Name
Last Name
Email if you want your receipt emailed to you
example@example.com
Phone Number
*
Please enter a valid phone number.
Address if you need a receipt mailed
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Invoice Number
*
Invoice Amount
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next
( X )
USD
Description
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: