ID Code (7 digits):
COMPANY NAME
ACCOUNT NUMBER
COMPANY NAME
  
Account Number:
  
Please note: SoftTelPay may charge you a
convenience fee for using this service.
 
 
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Name on Account:
Service Address:
Amount Due:
  
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Month(s)
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Total Charge:
Payment Amount:
Convenience Fee:
Total Charge:
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Enter Donation Amount:
  
Enter Donation Amount:
  
Enter Donation Amount:
  
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To make your payment to {{company}}, fill out the form below using Visa, MasterCard, or Discover. All information is kept in strict confidence and is not sold or distributed to third parties. The total charge for this transaction will be {{totalpayment}}.

Please Note: This payment will appear on your statement as:
{{SOFTDESCRIPTOR}}

 

Street Address:
City:
State:
Phone (no dashes):
Email Address:
Credit Card #:
Expiration Month:
Expiration Year:
CVV2:

To process this payment, click the Submit button below. Processing usually takes a few seconds, but can take longer during peak periods.

Thank you for your payment to
{{company}}
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Your transaction was DECLINED.

Your payment will appear on your statement as:
{{SOFTDESCRIPTOR}}

Date:
Transaction ID:
Confirmation ID:
Name on Account:
Service Address:

Please print this page for your records.