Pay Online And Save Time! Our first priority is to ensure that all your personal information remains safe and secure. Name* First Last Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Payment* Date* MM slash DD slash YYYY File Number*Duty Fee: $6.00 (Required For Credit Card Processing)* Duty Fee Please check the box above in order to process paymentCredit Card* American ExpressMasterCardVisaSupported Credit Cards: American Express, MasterCard, Visa Card Number Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Expiration Date Security Code Cardholder Name I, the card holder of the above mentioned credit/debit card, have signed this letter authorizing Thomas George Associates, Ltd. to place a charge in the amount above on my account, on the date above, in regards to the File # specified above. I am aware that the charge will appear on my monthly charge statement as Thomas George Associates, Ltd.* Yes