General Payment Collection

This form is for capture of credit card payments in lieu of other payment forms. If you are using this to provide funds or payments to WFESPTA please make sure you include the reason for the funds so we can properly credit them to the right account.

 

Fields marked with an * are required.
The (typically) 16 digits on the front of your credit card.
The 3 digit (back) or 4 digit (front) value on your card.
The name printed on the front of your credit card.
The month your credit card expires, typically on the front of the card.
The year your credit card expires, typically on the front of the card.