Questions?

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800-361-1232

   
Current customers who want to make a single payment only please only use this "General Payment" button for payments:

New Customers and Existing customers who need to enroll or update their auto bill recurring payment method please use the form below and provide the following information, Red* indicates field data is required:
Credit Card Info:
Credit Card Type*  
 Credit Card Number*   (enter number without spaces)
Expiration Date*   (mmyy) example 9/12=0912
Amount*   (i.e.,10.00)
Card Code*   (3 digits in signature panel, 4 digits on front if American Express)
First Name*   (as it appears on card)
Last Name*   (as it appears on card)
Company

Street Address to which credit card statements are mailed:

 Street Address*  
City*  
State/Province*  
Zip Code*  
Country
Phone
Email (Email Address you'd like receipts to be emailed to)

Information of person submitting the credit card:

First Name*  
Last Name*  
Company Title or Relationship to cardholder if being submitted by someone other than cardholder*   (if you are the cardholder, just enter your name)

By submitting this form, you are authorizing us to charge this credit card for the amount indicated, and that you are authorized to do so.  Choose appropriate option below, to inform us how to run your recurring and/or non-recurring charges.

Auto charge this credit card for my monthly recurring charge only.

Auto charge this credit card for the amount of my monthly AND annual recurring charge (like domain name renewals, or anything billed annually).

Automatically charge this credit card for any charge to my account as needed.

PLEASE NOTE THESE OPTIONS HAVE CHANGED!
If you wish to make a single one time payment only do not use this form, instead click the "GENERAL PAYMENT" button at the very top of this page to just make a one time payment. Also, you must accept our latest update to our general terms and conditions below.

By clicking Submit below I am agreeing to the current LifeGrid Terms and Conditions