Save yourself a convenience fee!  Send a U.S. funded check or call us to
submit your payment via ACH at no cost.  

Want to use your American Express, Discover, MasterCard or Visa credit
card?  Include your convenience fee listed on the registration form.

Questions?  Please call Amanda, 309-762-2854 or Rose, 714-774-4171 for more
information.  

Note:  Your credit card payment will be rejected if you do not provide the correct
billing address associated with your credit card.

Follow the instructions to pay with your credit or debit card:

1.   
Key in your payment amount due in the "price" box listed below and click
"continue".
DO NOT enter a dollar sign ($) into the amount due.
2.  Provide the information listed below to complete your payment.
  • Name as listed on the credit and/or debit card
  • Billing address, city, state and zip (associated with the credit card you are
    using)
  • Telephone number
  • Expiration number
  • CVV2 (3 numbers on the back of your credit/debit card)
Conference Order Form
Quantity Description Price
1Conference Payment Fee(s)
www.paymentconference.com
info@paymentconference.com
Amanda      309-762-2854 (CST)
Rose            714-774-4171 (PST)