One Time Payment

To make a one time payment for invoice or equipment order quote online, simply fill out the form below:

 
Customer Information
Your Name:
Company:
EMail:
Phone Number:
Credit Card Billing Information
Address 1:
Address 2:
City, State Zip:,
Name on Card:
Account Number: CID:
Expire: /
I would like the following charges deducted from this credit card:
(enter invoice number; must enter at least one, or more than one)
Invoice Number(s)
or Quote Number:
Amount to charge $
By submitting this application, I affirm that I have read and understand this application and agree to the terms and conditions set forth in the signed web hosting/development agreement on file. I am an authorized user or holder of this credit card account, and my signature here authorizes Digital Facilites Management, Inc. (Digital FM) to charge my account as agreed above. By completing and submitting this form, I choose to pay by credit card for the invoice(s) and total amount above only.
By checking this box I/We certify that I/We have read the statement above and agree to these terms.