Payment Center Form - Greensboro Builders Association

Hidden
Payment Type*
Invoice Options
Enter your invoice number and the amount that is owed.
Invoice # or Payment Description*
Price*
Membership Options
Please select your membership option.
Membership Type*
Select a Council*
Total
$0.00
Contact Information
Please enter your contact information.
Name*
First Last
Company Name*
Email*
Primary Phone*
Alternate Phone
Type of Business
Website
Company / Person Who Referred You
Billing Information
Please enter your billing address and your credit card information. We do not store any of your credit card information.
Address*
Street Address Address Line 2 City State ZIP Code
Credit Card

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Phone
This field is for validation purposes and should be left unchanged.

Invoice Options