Pay Your Service Fee 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.