Other Invoices/Payments - Alpha Delta Pi

Other Invoices/Payments

Payment - General Payment Form

Description / Invoice #

Payment Amount

Your Email Address

Payment Method

Credit Card

eCheck

Payment

Payment

Credit Card Number (Note: We do not accept American Express or Discover.)

Credit Card Number (Note: We do not accept American Express or Discover.)

Expiration Month

Expiration Month

Expiration Year

Expiration Year

CVC / Security Code

CVC / Security Code

Bank Name

Routing Number

Account Number

Billing First Name

Billing Last Name

Billing Address

Billing Address

Billing Address

Billing Address

City

City

State/Province

State/Province

Zip/Postal

Zip/Postal

Country

Country

Billing Address

If you are human, leave this field blank.

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Alpha Delta Pi Executive Office
1386 Ponce de Leon Ave. NE
Atlanta, GA 30306

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