Secure Payment Form

visa card master card echeck
 
Payment Summary:
Date: 03/05/21
Amount($10 Min):
Logicoll, LLC. File No.:
           
Credit Card Information:     
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:
Address:
City:
State (2 char abbr):
Zip:
Phone Number:
Email Address:
     
   

This is a web site of a collection agency. This is an attempt to collect a debt. Any information obtained will be used for that purpose.