Our Privacy Statement
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ex: 304-555-1212 (REQUIRED)    
Receipt Confirmation

A receipt will be displayed for your records upon successfully making a payment.

If you also want to receive an e-mail confirmation of this transaction, please enter your e-mail address twice (for verification) below:

Please note that you may need to set 'receipt@web-remit.com' as a trusted sender in your anti-spam software, as the email will contain information that is sometimes identified as spam. If you do NOT want to receive an e-mail confirmation, do not enter anything into these 2 boxes above.
Proceed to Statement Verification