Online Payments - Lewis Land Professionals

Lewis Land Professionals Online Payment

Note: All invoices reflect a 3% cash/check/money order/direct deposit discount. This discount is not valid for credit card purchases, a 3% adjustment will be made below to the total.

Client Name:*
First Name Last Name
Company Name:
Email Address:*
Enter Email Confirm Email
Phone Number:*
Type of Payment:*
SELECT ONE
- Invoice
- Retainer
Invoice #
Address or parcel # of property
Comments:
Invoice/Retainer Amount*
3% Charge
Price: $0.00
Total Charge to Credit Card
$0.00

Payment Information:*

Cardholder Name

Card Details

Your Billing Information:*
Street Address Address Line 2 City State ZIP Code
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