Purdue Accounts Receivable Payment Page

Invoice Info

Customer Name (First and Last)

Customer #

Invoice #1

Invoice #1 - Amount

Invoice #2

Invoice #2 - Amount

Invoice #3

Invoice #3 - Amount

Invoice #4

Invoice #4 - Amount

Please add invoice amounts together for your total:

Total Payment Amount

$

Payment Info

Payment details

Card Number

Expiration Date

Security Code (CVV)

MasterCard

Billing Info

Company Name

First Name

Last Name

Address 1

Address 2

City

State

Zip/Postal Code

Country

Email Address

Phone #

Click here to make a payment