Greensboro Branch
     Secure Payment Form

Payment Summary:
Payment Date: 07/23/18
WFS Customer's Name:
Account Number or SSN:
Payment Amount:
Customer IP: 
Debit Card Information (sorry, no credit cards):     
Debit Card Type:

Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
[What is the Card ID?]
Billing Information:
First Name:
Last Name:
Street Address:
Address Line 2:
Phone Number:
Email Address:
          Please allow 1 full business day for your payment to reflect on your WFS account.