Resurgence Legal Group, PC

Secure Payment Form

Payment Date
Payment Amount
Reference Number

All payments must include your Reference Number which will start with TP, R, RN, MN, CA, or WI.

Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
I, , authorize Resurgence Legal Group, PC to charge my credit card above in the amount I entered above and such payment will be applied to the account entered in the Reference Number field.