IBLF Secure Payment Form

Please enter the Client Name, invoice number (or description of the case) and any special instructions and select the payment(s) that you would like to make. Note that because of the transaction fees related to credit card processing, we must charge you an additional 3% for all payments made for direct expenses, such as filing fees, mail and courier expense, etc. - - - - Payment Amount . . . . . . . . . . . . . . . . . . : --- If you are paying filing fees or other direct expense, please add on 3% to cover the credit card processing fee . . . . For legal fee payments, this is not necessary.

Credit Card Payer Information (as on credit card . . )

- First Name: - Last Name: - Address: - City: -- State: -- Zip: - Country: - Phone Number: - E-Mail Address: . . . (Enter your email address if you have one, otherwise leave as is . . . . Your transaction will be automatically confirmed by email, or, if left as is, we will send a confirmation copy of the transaction to you by regular mail.)