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International Payment Solutions LLC

Secure Payment Form

      
Order Date
Order Amount
Invoice Number
<p>Invoice # can be found on the top of the invoice you received.</p>
Description
<p>What is this payment for?</p>
Order ID
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Input your email in order to receive a record of payment.
Email Address