DC Quarterly - Setup Payment

Payment Method

Credit Card
PayPal

Customer Information

First Name *

Last Name *

Email Address *

Phone

Organization

Billing Information

All transactions are secure and encrypted.

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

First Name on Account *

Last Name on Account *

Card Number *

CVV

Expiration Month *

Expiration Year *

Billing ZIP Code

Recurring Fee (every 3 months)	$197.00
Today's Total	$197.00
then $197.00 at first renewal on 26 Jun 2023