Please Read The Following Carefully!

Use your PayPal account to make a payment on your account.

Fill out the payment form below and then click the PayPal Pay Now button. You will then be redirected to the PayPal website to conclude your transaction.

You will need your DCS# found on the notice you received to complete this transaction. If you do not have your DCS#, please contact us at 800-256-3838.

Please fill in the form with the information as it appears on the notice you are paying from to ensure proper posting to your account.

DCS#		Re-Enter DCS#
First Name		Last Name
Address		Suite/Apt#
City State Zip Code Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Dist of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
***IMPORTANT *** You will enter in your payment amount when you press the Pay Now Button and are directed to PayPal.