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Payment Desk

Traditional Payments

Please fill out all of the fields below. Once this form is completed you will be directed to a page that you need to print and send with your payment. This page will also contain the address you need to send the payment to. It is very important that the following information is sent with your payment! If you do not have access to a printer you may write down the information on a separate sheet of paper and send it with your payment. Thank you.

Domain Name(s) or Account Number:
Enter the account(s) this payment should be applied to in the space above.

Payment Amount: $
Enter the total amount of this payment in the space above.

Your First Name:
Your Last Name:
Your E-mail Address:
Date payment will be sent on:   ,
  Any additional comments?
   




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