Pay Your Service Fee

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• Customer Info
• Payment Info
• Card Info

Contact Info

To pay your service fees online, fill out the form below.

First Name

Last Name

Billing Address

Billing Address 2

City

State

Zip

Email

Contact Phone

Payment

Enter in the amount that you are required to pay for participation in our program.

Amount

 

Credit card

Review and Confirm

Please verify that the information below is correct. If you have any comments or an invoice number, please enter it in the Comments box below. Click the Make Payment button to process your payment.

Name:

Address:

City/State/Zip:

,

Card:

ending expiring

Amount:

$

 

TERMS AND CONDITIONS: I authorize Restorative Justice Community Action, INC to charge the amount listed above to the credit card provided herein. I agree to pay for this purchase/donation in accordance with the issuing bank cardholder agreement.

Comments/Message to RJCA

Payment Processed Successfully

Your payment has been successfully made. You will receive an email that contains a confirmation/receipt of this payment.