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This page is to be used for processing payments for fee-based services. All information is secured and will not be shared with any third party organizations.

Kids Included Together Payment Portal

Payment Amount:

Description:*

If "Other", please indicate what the payment is for here:

Payment References (enter data from KIT invoice, if applicable)

Invoice Number:

TM/Contract Number:

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:*

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

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Kids Included Together Payment Portal

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