PAYMENT PORTAL

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Payments made through this portal will appear as
processed by Tangible Payments on your billing statement

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Customer Account Number (Required)
Customer Name (Required)
Amount ($) (Required)
Card Holder Name (Required)
Card Type (Required)
Card Number (Required)
Card Verification Value (?) (Required)
Expiration Month (Required)
Expiration Year (Required)
Billing Address
Billing City
Billing State
Billing Zip (Required)