Credit Card Authorization Form

If you have multiple invoices to pay, please list all in invoice number field separted by a comma. A 3% fee will be applied to all credit card payments.

Enter invoice(s) total then press "calculate" for your total payment.

Invoice Number(s) *

Invoice(s) Total *

Total Payment:

$0.00

Distribution of funds if not paying entire amount of all invoices

Credit Card Type *

Billing Address

First Name *

Last Name *

Company Name *

Address *

City *

State *

Zip Code *

Email Address *

Phone Number *

By using this form, I authorize TSC to charge my credit card for the invoice(s) noted.