Make a Payment For IT Services - Jelia Technology Solutions

Support

Make a Payment

1. Welcome! What kind of payment you would like to make?*
- One-time payment
- Recurring monthly payments
2. How would you like to make this one-time payment?*
- Credit Card - 2% surcharge
- Mail a check - no surcharge
- ACH debit - no surcharge
2. How would you like to make the recurring payments?*
- Credit Card - 2% surcharge
- ACH debit - no surcharge
3. Please mail your check to:

Jelia Technology Solutions
1239 E Prince Road
Unit B
Tucson, AZ 85719

Questions or concerns? Call us at 520-300-8503 or email [email protected].
ACH (pre-authorized debit/auto debit)
3. Provide your ACH information and authorization:

A. Download the ACH Authorization form here, print it, sign it, and scan it back to your computer.
B. Scan a voided check to your computer.
C. Upload both items (the signed form and the voided check) using the form below.
Signed Authorization Form - Secure Upload*
Voided Check - Secure Upload*
Your Name*
First Last
Company Name*
Phone number to reach you (if needed)*
Your Email*
Questions or concerns? Call us at 520-300-8503 or email [email protected].
One time payment (Credit Card)
3. Please submit the following form to charge a credit card for a one-time payment:
Recurring (Credit Card)
3. Please submit the following form to initiate a monthly charge to a credit card:
Billing Information
Your name*
First Last
Company Name*
Phone Number*
Email address*
Payment amount*
2 percent card processing fee
Price: $0.00
Total
$0.00
Description and/or invoice number(s) if applicable*
Credit Card Details*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Total for one-time payment
Consent*
Yes, please charge this credit card a one-time amount of:
One-time payment total
$0.00
Total for recurring monthly payments
Consent*
Yes, please charge this credit card EVERY MONTH for the amount of:
Recurring monthly payments total
$0.00
Comments
This field is for validation purposes and should be left unchanged.