Quick Payment - Nelson Cruz & Associates

Account Information

Reference Number:

*

First Name:

*

Last Name:

*

Email Address:

*

Payment Method

Amount:

*

Payment Method:

Credit Card

Payment Information

Name on Checking Account:

*

9 Digit Routing Number:

*

Bank Account Number:

*

Name:
Address
City, State, Zip

Pay To: Nelson Cruz & Associates Amount: : : 000 Routing Number Account Number Check Number

Name on Card:

*

Zip Code:

*

Card Number:

*

Expiration Date

*

Security Code:

*

Please Verify Your Information

Reference Number:

******

Name:

******

Email Address:

******

Payment Method:

******

Account Payment Amount:

******

:

******

I hereby authorize Nelson Cruz & Associates to debit my card in the amount(s) specified above on the schedule specified. By clicking below to make your payment, you, authorize the charges specified above.

A service fee as shown above will be billed separately on your statement by Nuvei Commerce, our payment processor, for immediately processing your payment electronically. If you wish to avoid this fee you can select ACH or mail a check or money order to our office Nelson Cruz & Associates at 9535 Forest Lane, Suite 114. If you choose the no-fee method of paying by mail, please provide sufficient time for your payment to be received by our office by the due date. The fees will be charged at the time of each payment by the credit card processing company. This is a service fee and is not applied to your balance.

By clicking the 'Submit Payment' button you are accepting this policy and authorized the Payment(s) listed above.

*

I Agree to the terms and conditions above