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Admin Payment

Administrative Client Payment

This form is for administrative use only, for entering client payment information after receiving via phone or in person. Remember you're handling sensitive information!
  • We'll get the client's name below; here we want to know who is submitting the information on behalf of the client.
  • American Express
    Discover
    MasterCard
    Visa
     
  • Might be same as cardholder name, above, but this one allows us to send a personalized message that payment was submitted (they will also get a receipt from Stripe that payment was accepted).
  • So we can send them a receipt.
  • $0.00
  • This field is for validation purposes and should be left unchanged.