Invoice Payment

Note that this form is only for payments of less than $2,500.
Please pay by cheque if you have a payment greater than $2,500.
Your Information
Name
First Last
Company Name
Email (required for receipt)*
Payment Information
Invoice Number(s)*
Invoice Number Invoice Date (Any Format)
Total Amount to Be Paid*
Hidden
Number*
Sorry, this form cannot be used to process payments greater than $2,500.
Please make your payment by cheque.
If you require assistance, please call our office (519) 856-9526.
Verification*
- I confirm the above information is correct.
Credit Card*
Card Details
Cardholder Name

Invoice Number	Invoice Date (Any Format)

Your Information