Payment
for Services

One time payment

One Time Option - Credit Card

Please consider the recurring payments option that will set up automatic payments on a regularly scheduled basis. This convenient option will provide more funds for direct services to clients by greatly reducing JESPY’s administrative costs.

Payee Information

First Name:
Last Name:
Name of Client:
Phone:
Email:

Mailing Address

Address*:
Apt / Suite #:
City*:
Zip/Postal Code*:
Country*:
State/Province*:
Other State/Province

You will be directed to enter your credit card information once you hit the Submit button.
Payment Method
Credit Card Information

First Name:

Last Name:

Credit Card Number:

CVV/Expiry:
Billing Address

Street Address:

Apt/Suite:

City:

Country/State:

Zip Code:

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