Cardinal 23 Payment FormPlease enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Firm | Company | Organization:Name: *FirstLastEmail Address: *Billing Address: *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeCustom Captcha *What is 22+1? Invoice #: *Amount:Minimum Price: $10.00Coupon Code: Apply Total$0.00Payment Type: *Choose OneVisa, Mastercard, Discover, AMEXE-CheckCredit or Debit Card Number: *Card NumberMM123456789101112Expiration/YY2526272829303132333435Security CodePayment Authorization: *I authorize Cardinal 23 to charge the debit/credit card indicated on this form for Mobile Notary Service for the total amount due as stated above. This payment authorization is for the amount indicated above only. I certify that I am an authorized user of this debit/credit card and/or have obtained express permission from the cardholder to use this card for this transaction. I understand that I will not dispute the payment with my debit/credit card company. I further understand that the payment is non-refundable.Account Type: *Choose OneBusiness CheckingCheckingSavingsFinancial Institution: *Choose OneAllegiance Credit UnionAlly BankAlva State Bank & Trust CompanyAmerican Bank and TrustAmerican Express BankArvest BankBancFirstBank of AmericaBank of the WestBBVA USA (now part of PNC Bank)BMO Harris BankBOK Financial (Bank of Oklahoma)BNY MellonCapital OneCharles Schwab BankChase Bank (JPMorgan)CitibankCitizens BankCity National Bank and TrustComerica BankCredit Union One of OklahomaDiscover BankEncentus Federal Credit UnionEnergy One Federal Credit UnionFifth Third BankFirst Bank & TrustFirst Fidelity BankFirst National Bank of OklahomaFirst National Bank of OmahaFirst Oklahoma Federal Credit UnionFirst Republic BankFocus Federal Credit UnionGoldman Sachs BankHSBC Bank USAHuntington National BankIBC BankIntegris Federal Credit UnionKeyBankLegacy BankM&T BankMidFirst BankMorning Star Federal Credit UnionNavy Federal Credit UnionNorthern TrustOklahoma Central Credit UnionOklahoma's Credit UnionOklahoma Educators Credit UnionOklahoma Federal Credit UnionPNC BankRCB BankRed Crown Credit UnionRegions BankSantander BankSilicon Valley BankTD BankTinker Federal Credit UnionTrue Sky Federal Credit UnionTruist BankTTCU Federal Credit UnionU.S. BankUnion BankWeokie Federal Credit UnionWells FargoWestern Sun Federal Credit UnionWeStreet Credit UnionZions BankOther - Not ListedFinancial Institution:Routing Number: *Account Number: *Check Number: Payment Payment Routing Payment Authorization: *I authorize Cardinal 23 to process the e-check indicated on this form for Mobile Notary Service for the total amount due as stated above. This payment authorization is for the amount indicated above only. By submitting this e-check payment, I certify that I am an authorized user of the bank account provided and/or have obtained express permission from the account holder to initiate this transaction. I understand that I will not dispute the payment with the bank, and further understand that the payment is non-refundable. Submit Payment