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BIP Assessment Payment
Assessment fee (w/ credit card online)
*
$125
-
Full amount
$
Contact Information
Name
*
First Name
Last Name
Email
*
Verify Email
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Payment details
To pay online - click the payment button below and follow to the secure PayPal site
Payment details (cash/check)
To pay by cash/check, click the Submit button below but ignore the next screen, THEN please drop off your payment at the OVM office (209 S Pine) before noon on Friday.
