Garbage Payments | North Versailles Township

Garbage Payments

This form is for GARBAGE PAYMENTS ONLY.

Name*

First Last

Account Number*

Phone*

Email*

Garbage Service Address*

Street Address Address Line 2 City State ZIP Code

Amount of Payment*

**WE DO NOT ACCEPT AMERICAN EXPRESS**

Convenience Fees*

Price: $0.00

To cover the cost of online payment processing a convince fee of 3% is collected. Fee will be calculated based on Payment Amount entered above.

Total Payment

Credit Card

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

**WE DO NOT ACCEPT AMERICAN EXPRESS**

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