GST | THA Payment Software

THA COMMERCIAL INSURANCE PAYMENTS

COMMERCIAL INSURANCE PAYMENT PAGE

Client Name (if different)

Business Payment

First Name

[Required]

Last Name

[Required]

Email Address

Payment Amount

Select payment method

Fee: $1.00
Amount:
Processing time: up to 5 business days

Fee: 2.9% + 30c
Amount:
Processing time: Instant

Bank account type

Address

City

State

Zip Code

Check Date

Check Number

Payment for

Policy/Account

Company

Memo

Edit Memo

Bank Routing Number

Bank Name

Bank Account Number

Confirm Account Number