WESTERN CONTROL SERVICES

Secure Payment Form

* indicates a required field.
       

For information about the Colorado Fair Debt Collection Practices Act, see www.coloradoattorneygeneral/ca.
This communication is from a debt collector. This is an attempt to collect a debt. Any information obtained will be used for that purpose.

Single or multiple payments:

This web-based credit card processing is designed for a single transaction. If you desire to set up multiple transactions, please contact Western Control Services at 1-888-494-9592. We will be happy to assist you.

You must have your assigned Western Control Services account number:

If you do not know your account number, please do not attempt to make a payment at this time. Instead, please call 1-888-494-9592 to obtain your account number. Without your Western Control assigned account number, we cannot credit your account with the payment you make on this site, which could result in significant delays in processing your payment.

Authorization:

By continuing to the payment site, I have expressly consented to being contacted on any applicable residential or cellular telephone by manual dialing or the use of an automatic telephone dialing system.

You are longer at the Western Control Services website and are connected with our payment processor’s secure website. Western Control Services is not responsible for and does not control the content of the the payment processor's secure website.

I have read and understand the above messages.
Payment Date
Payment Amount *
Invoice #
Western Control 9 digit Account # *
Customer IP
Name as on Card *
Card Billing Address *
Card Billing Zip *
Card Number *
Card Expiration Date *
CVV2/CID *
First Name
Last Name
Company Name
Address
Address 2
City
State
Zip
Country
Phone Number
Fax Number
Email Address