File Number
9 characters (see sample here)
First Name
Last Name
Address
City
State
Zip
Phone
*E-Mail
(i.e. anyone@any.com)
*Verify E-Mail
(i.e. anyone@any.com)
Credit Card Number

credit cards accepted
Expiration
CVV Code

cvv

Amount
$ ie.: 100.99 (Decimal Included - No Dollar Signs)
Comments

*Required Field

I understand this transaction will appear on my credit card statement as a credit card charge from "Midwestern Audit Services, Inc.". By clicking the "Process Transaction" button below, I am affirming that I understand and agree to this Credit Card Transaction.

I also agree to a transaction fee of $3.95 for this payment.

THIS COMMUNICATION IS FROM A DEBT COLLECTOR. THIS IS AN ATTEMPT TO COLLECT A DEBT BY A DEBT COLLECTOR AND ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE.

I agree to the terms listed above