Pay Your Bill By Credit Card. We accept Visa, MC and AMEX.
Please complete all lines on the form, indicate what credit card is being used and sign the form.
Please return to the Office Manager either by fax 845-353-2789 or e-mail to firstname.lastname@example.org for processing.
You will receive an email indicating receipt and the confirmation of the payment processed.
If you have any questions concerning making your payment by a credit card, please call Shannon Flanagan at 845-353-2000.Payment Form pdf