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Sko Pay Online - Secure Payment Form - SkoPayOnline.com
Account Information
*Sko Brenner Baldwin,NY SKO Account file #Pay here only for Sko Baldwin
*Name of your Creditor:
Your Creditor`s Account #:(optional)
Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
Billing Information
*First Name:Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:Where your statement is mailed
Address Line 2:Apt. or Suite No.
*City:
*State USA or Canada
*Zip Code:
*Phone:
Credit/Debit Card Information
*Card Number:No dashes or spaces please
*Expiration Month:From your card
*Expiration Year:From your card
*Card Brand:
*CVV2:Card Security Code
Payment Information
*Total amount you owe:
*Amount you are paying now:Credit Card Payment
Notice



>I agree to pay the above amount according to my card issuer agreement.PLEASE MAKE CERTAIN

THAT YOUR ACCOUNT IS WITH SKO BRENNER IN BALDWIN AND NOT WITH OUR CONSUMER AFFILIATE

LOCATED IN FARMINGDALE, NY.



Notice to customer. Please note that your credit card billing statement will

reflect the charge in the name of Sko Brenner American at Baldwin,NY. Thank you for your

cooperation and attention. Sko Pay Online
THIS IS AN ATTEMPT TO COLLECT A DEBT AND ANY INFORMATION PROVIDED WILL BE USED FOR THAT PURPOSE
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