CCG Collections Payment Form

1111 N. Brand Blvd. Ste 401
Glendale, CA. 91202 USA

Hours of Operation:
Mon- Thur 9 AM to 5 PM PT
Fri: 9 AM to 3 PM PT

Tele#:800-743-0645

Secure Payment Form

* = Required Fields

Account Summary:

Payment Date:

12/29/24

CCG File Number *:

Credit Account No#:

Email Address *:

Phone Number *:

Customer IP:

18.220.196.68

Notes to CCG:

Billing & Credit Card Information:

Payment Amount *:

Card Type:

Name as on Card *:

Card Billing Address:

Card Billing City/State *:

Card Billing Zipcode *:

Card Number *:

Card ExpirationDate *:

MMYY

Card ID (CVV2/CID) Number *:

[What is the Card ID?]

Payment Summary:

Convenience Fee (3.75%):

Total Charge:

By selecting the processing payment button. You agree to allow Continental Commercial Group to use the information provided to contact you in connection with this payment and debt obligation. “This is an attempt to collect a debt and any information obtained will be used for that purpose”.