ONLINE PAYMENTS BEFORE YOU PROCEED Who is this form for? Services payment processing ONLINE PAYMENTS Online Payments (1) Personal InformationCustomer Name* First Last Customer Email* Payment Description*SelectContract PaymentConsultation PaymentOtherOtherInput a brief Invoice Description for this payment. Payment OptionPayment MethodPayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name NOTE:Choosing PayPal requires that you have funds in your PayPal account, or you have a Visa Card or Bank Account linked into your PayPal account. Visit How do I add a debit or credit card to a PayPal account? OR At the next Pay option screen instead of logging into PayPal, choose Pay by Credit Card. Amount (CAD)* Administrative Fee4.4% of Amount + .30cents Price: $ 0.00 CAD Total $ 0.00 CAD I Agree*I Agree and understand that an Administrative Fee of 4.4% + a .30 cent service charge is added to the Amount. Yes