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Description

This program provides an alternative streamlined payment channel via credit card to esteemed strategic vendors.

To receive accelerated payments via secured single-use virtual [Visa® or Mastercard®] credit card moving forward, complete the registration form below for your customer(s).

ePayables Registration Form for Credit Card Payments


Select Your Customer *
   

Registration Form

Company Name *
Vendor Contact Name *
Vendor Email *
Vendor Telephone *
Vendor Number
Card Payment Limit
Yes No
Card Payment Fee
Yes No
Remittance Email Address /Phone Number/Website
Email
Phone Number
Website

Remit To Address
Remit To Address *
City *
State *
Country *
ZipCode *
Vendor Tax ID *