Make Payments
In an effort to better serve our clients and simplify your billing experience, we now accept American Express, Discover, MasterCard and Visa as payment for our services.
If you would like to pay your invoice by credit card using our secure online
payment portal,
click here.
You may also authorize payment by credit card by completing the following information and returning it to us by e-mail (bkurtz@barrykurtzpc.com) or by fax (818-986-4474) or by calling us (818-827-9229).
Credit Card Authorization Form
To authorize us
to use your credit card for a payment please complete the form below and
return a signed copy to one of the following:
E-mail:
bkurtz@barrykurtzpc.com
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Invoice Number |
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Amount to Pay |
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Name on Credit Card |
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Billing Address |
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Billing Address Line 2 |
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City |
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State |
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Zip Code for Card
Billing Address |
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Card Type |
□American Express |
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Security Code |
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4-digits for Amex;
3-digits for all others |
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Expiration Date |
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(MM-YYYY) |
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E-Mail Address |
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Telephone Number |
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Signature |
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By signing above, you hereby
authorize Barry Kurtz, A Professional Corporation, to charge your credit
card for the services provided as payment of the referenced invoice.
