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Credit Card Payment Option

I & C Systems is now able to receive payments for goods and services using your Visa, MasterCard, and American Express through our own credit card processing service.  In order to start the payment process, please fill out the form below.  To complete the payment process you will have to talk with someone at our office.

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Payment Request Form

Let us know how to contact you so we can complete the payment process.

I will contact I & C Systems with our credit card information
I would like I & C Systems to contact me to get our credit card information

Please Fill out All Fields.  If you have any questions call 207-885-0134.

Do not include your credit card number on the form! The final transaction will be completed via telephone once we receive your contact information below.

Payment Amount ($ US)
Your Purchase Order Number
I & C Systems Invoice Number and/or Payment Description
Cardholder First Name
Cardholder Last Name
Your Title
Your Company Name
Billing Street Address
Billing City
Billing State
Billing Zip Code
Your E-mail 
Your Phone

Do not include your credit card number on the form! The final transaction will be completed via telephone once we receive your contact information below.

 

 

 

 
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Copyright 2002 I & C Systems Engineering
Last modified: September 3, 2013