O N L I N E    C H E C K   F  O  R  M

*  For Credit Card Payments please see link in red at the bottom of this window  *


  
Payment Type
Payment Amount

 


Please fill out all fields for this payment

Name:

Company:

Address:

Apt/Suite:

City:

State:       Zip Code: 

Day Phone:

Evening Phone:

 

Email address:

 REQUIRED  (For private use only)

     

 

 

 



If you have Fraud Alert setup at your bank,
CALL US FIRST BEFORE YOU CONTINUE!

Pay with any checking or savings account from USA or Canadian bank (we create bank draft)
Items Marked with * ARE REQUIRED
Company name as it appears on the check Check Date Check Number
*  *  *
Company address as it appears on the check
* 
Company city, state & zip code Your email address
*  ,  * * 
Company phone number Bank Name & Phone Number
*  * 
Pay to the
Order of                  Wright Office Solutions, Inc.                                        $
__ __ Dollars
For                         This draft pre-authorized by accountholder
             9 digit Bank Routing #                       Checking Account Number
  *    *


Powered by ChecksNet Software

ChecksNet protects your personal and bank account information from theft or misuse by encoding and scrambling the data as it is transmitted from this website to us. By submitting this form, you hereby authorize Wright Office Solutions to create a bank draft for the item(s) selected above. You further agree to pay a fifty dollar service charge if bank draft is returned unpaid by your bank.
I agree to these terms & conditions < Checkmark required.

              

** Contact our office at (517) 580-3717 for alternate payment options or click here. **

Prices effective 9/30/2010 and are subject to change without notice. All Sales are Final!

SSL Certificate Authority
SSL Certificate Authority