| Item Title |
Qty |
Price |
Subtotal |
| General Fund |
1 |
$25.00 |
$25.00 |
| |
|
Total |
$25.00 |
By clicking "Submit", I agree to pay the above total amount according to the card issuer agreement.
I authorize ProPay, Inc. to initiate, and my financial institution to honor, a one-time automated clearing house (ACH) debit transaction to my checking or savings account indicated above. I agree to be bound by any rules my financial institution requires for ACH debit transactions.
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