Credit Card Payment Request

This form allows clients to request to pay outstanding invoices using a credit card.

It collects essential information such as the client’s details, invoice numbers, total amount to be paid, and the reason for opting for a credit card payment.

Clients are also required to acknowledge any applicable processing fees and confirm they understand that payment will be completed via a secure method.

Once submitted, a member of our team will contact the client to finalise the transaction safely.

Your Submitted Invoice Details

Invoice Reference Number(s):

YYYY-MM-INV00 - Your Name

Invoice Due Date

Total Amount to be Paid

Reason for Requesting Credit Card Payment

Payment Terms

Do you understand that a Processing fee will apply and will be added to the final payment amount?

Please refer to our disbursements which can be found by following this link: https://www.architecturenorth.co.uk/digital-contracts/disbursements

Yes, I understand - Please refer to our Disbursements

Secure Payment Agreement

I agree not to submit any sensitive card details through this form and understand I will be contacted to complete the payment through a secure method.

Instructing Client's Details

Instructing Client's Name

Instructing Company Name

If Not Applicable, please enter N/A in this text box.

Instructing Client's Email Address

Instructing Client's Phone Number

Correspondence Address including Full Postcode

Project Site Address including Full Postcode

Project Job Number

A copy of our Company Disbursements can be found by following this link:

https://www.architecturenorth.co.uk/digital-contracts/disbursements

Digitally Typed Signature

Do you agree that your typed full name signature replaces, in this context, your written signature.

Yes, I agree

Project Password

First & Last Name Initial followed by the Day, Month, then Year of Your Birth

Date of Declaration

Time of Submission (Digital Format)

Do you confirm that all the information you have provided Today is Correct

Yes, Declaration Made

Would you like to provide any Additional Information?

If Not Applicable, please enter N/A

Credit Card Payment Request

Our Area of Expertise

Our Area of Expertise

Our Professional Scope of Services

Our Professional Scope of Services

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