JP Jensen Collections, LLC
Payment Summary
Payment Date
Payment Amount
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Set up recurring billing
Amount to Pay
Frequency of Payments
two weeks
month
quarter
Recurring Start Date
File Number or Last 4 of SSN
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Email Address
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Credit Card Information
Card Type
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Select
Visa
MasterCard
American Express
Discover
Name as on Card
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Card Billing Street
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Card Billing Zipcode
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Card Number
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Expiration
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CVV2/CID
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