Secure Online Credit Card Payments
   Secure Online Payments
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You are making a Secure Payment to:    
Chip Ellis Motor Company
3078 S Oates Street
Dothan, AL 36301
407-793-4676
www.ChipEllisMotorCompany
Billing Statement Name: Chip Ellis Motor Company
Credit Cards Accepted:     MasterCard Accepted   VISA Accepted

To make a secure payment online complete all information below
You will receive a confirmation email that your payment information has been received
Your credit card will be charged by the business you are making a payment to shown above

 
Your Name  
Email Address  
Confirm Email Address  
Daytime Phone Number   ex: 703-555-1212
Select Card Type  
Name on Credit Card  
Credit Card Number  
Expiration Date    /  ex: 08 / 2017
Security Code Locations  Security Code  
Credit Card Billing Street Address  
Credit Card Billing City  
Credit Card Billing State  
Credit Card Billing Zip  
Invoice# or Account# to make payment on  
Payment Amount $  
Comments / Special Instructions  
Check box to confirm  I authorize www.SSLCardPay.com to provide
my information above to the payee listed on this page
 
www.SSLCardPay.com