Submit a Credit Card Payment to The Independence Center

If you need assistance, please contact Jenny Seymour, Finance Manager, via email at jseymour@the-ic.or call (719) 471-8181 ext. 174.

2 Internal: AR Payment Form for Accounting
(Receipt will be sent to this address)
(ie. INDE01)

Pay up to three invoices with this form. Enter the invoice numbers and amounts below.
(ie. AR1234)
(optional)
(optional)
(optional)
(optional)

This amount is automatically calculated by individual invoice amounts input above.

Billing address
City
State/Province
Zip/Postal
Please use the address associated with credit card being used.
Credit Card
For your security, this transaction is being processed on a SSL secured connection. No credit card data is stored on The Independence Center's website.
Sending