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 CodeWhich service is this payment for? *Document RetrievalLoan SigningLodging Fees / Meals / Mileage / TravelMobile NotaryMailing / Postage FeesService of Process (Evictions)Service of Process (General)Skip TracingOther Please select the service(s) that best match your payment. For example, if your invoice is for Service of Process (General), choose that option even if it includes related fees such as additional addresses, additional individuals, skip tracing, sitting and waiting, or any other charges tied to that service. Invoice #: *Use the + button on the left to add additional invoice numbers. You can add up to 10 invoice numbers. Add Invoice Remove Invoice Payment Amount: *Minimum Price: $10.00Total$0.00Payment Type: *Choose OneVisa, Mastercard, Discover, AMEXeCheck (Electronic Check) Credit or Debit Card Number: *Card NumberMM123456789101112Expiration/YY2627282930313233343536Security 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 CheckingCheckingSavingsRouting Number: *Account Number: * Payment Authorization: *I authorize Cardinal 23 to process the eCheck 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. Address: or Firm Submit Payment