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Benefit Brunch Invoice Payments
PLEASE CONSIDER paying via check (memo:_invioice number_) or covering the 3% processing fee by checking the box at the bottom of this screen
Name
*
First Name
Last Name
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Email
*
Verify Email
*
Invoice Total $
*
$
Phone
*
Invoice Number #
*
Add 3% to my total amount to help cover the payment processing fees