Verify
Please check your bill information and payment details below before submitting the payment.
Water
| Account Number | Last Name on Account | Amount |
|---|---|---|
| L2345 | Spears | $25 |
Personal Information
| Full Name | Jayne Jolly Doe |
| Address | 1234 Main Street, Suite 508 Louisville, Kentucky 40205 United States |
| Phone Number | - |
| Mobile Number |  +1 502 123 4567 |
| Email Address | jayne.doe@water-company.com |
Payment Information
| Card Number |  VISA Credit ending in 1111 |
| Full Name | Jayne Jolly Doe |
| Address | 1234 Main Street, Suite 508 Louisville, Kentucky 40205 United States |
| Phone Number | - |
| Email Address | jayne.doe@water-company.com |
| Amount | $XX.XX |
| Convenience Fee | $XX.XX |
| Total | $XX.XX |
Payment Terms and Conditions Authorization
By choosing the “I agree to Terms and Conditions” checkbox below, I am confirming my payment is in accordance with the rules and regulations of the agreement issued between me and my card issuer.
My payment can only be completed upon the acceptance and authorization of my issuing debit or credit card company. If my payment cannot be completed, I will retain the same liability which is my sole responsibility for payment as though I had not attempted to make this payment. Furthermore, I may also be liable for additonal fees and
