Online Payments

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PAY FIRE PREVENTION DEPARTMENT

Please use the form below to make a payment to the Fire Prevention Office.

YOUR INFORMATION

Record Number*

First Name*

Last Name*

Your Phone Number*

###-###-####

Your Email Address*

PAYMENT INFORMATION

Payment Type*

Credit Card
e-Check

Billing Street Address*

Billing Address Zip Code*

Credit Card*

Name on Credit Card*

Credit Card Number*

Credit Card CVV2 Verification Code*

Expiration*

I acknowledge that I will incur a convenience fee of 2.35% of my order total with a minimum fee of $1.50. I acknowledge that if I dispute the charge on my credit/debit card, my application will be null and void and I will be required to reapply with the Town.*

I approve the accuracy of the data*

I approve the payment of the convenience fee*

I approve this payment*

Subtotal:

Convenience Fee:

Total Cost:

Subtotal

Credit Card Convenience Fee

Total Cost

Record Info

JS HID Transaction Type

AVS