Personal Information

NOTE: All fields required


Company Name or Invoice #:


First, Last Name:


Address:


Email Address:


Amount:
$

Credit Card Information

NOTE: All fields required

Card: Pay With VISA Pay With MasterCard Pay With American Express

FULL Name on Card:


Card Number: 16 digit (Visa/MasterCard)or 15 digit (American Express) number, no spaces


Card Code: 3-digit (Visa/MasterCard) or 4-digit (American Express) number on back of credit card


Exp. Date: /

I confirm that I am authorized to use this credit card and I authorize Stratics Group to charge my credit card for the amount listed on this form.



We offer credit card billing as a extra convenience in the event you are unable to pay by wire transfer or certified check.

Please contact our billing department for technical assistance or any questions you may have.
Toll Free: 1.877.453.0604 x 104 or payments@straticsgroup.com