One Time Payment | Badger Soft Water Inc. Payments

Payment Details

*This information is required

Customer / Business Name*

Customer Account Number: How Many Customer Account Numbers Would You Like To Add?*

Is Your Payment More Than $1000?*

Account Number*

Payment Amount*

Account Number (#2)*

Payment Amount (#2)*

Account Number (#3)*

Payment Amount (#3)*

Account Number (#4)*

Payment Amount (#4)*

Account Number (#5)*

Payment Amount (#5)*

Account Number (#6)*

Payment Amount (#6)*

Account Number (#7)*

Payment Amount (#7)*

Account Number (#8)*

Payment Amount (#8)*

Account Number (#9)*

Payment Amount (#9)*

Account Number (#10)*

Payment Amount (#10)*

*This information is required

Email*

Phone*

Billing Address*

Street Address Address Line 2 City State ZIP Code

Secure Credit Card

Card Holder*

Card Number*

Card Expiration*

Card CVV*

Convenience Fee*

Price: $4.00

Convenience Fee*

Price: $1.00

Total

$0.00

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