Town of Flagler
Misc Payments
Choose A Device from the List Below
OR
Add a New Device ID
Workstation Name
DeviceID
Payment Information
1
Information
Purpose of Payment
2
Payment
Amount To Pay
Amount is required
Service Fee Amount
Total Amount
3
Credit Card Payment Type
Cardholder Information
4
Cardholder Name and Address
First Name
Last Name
Address 1
Address 2
City
State
Your State
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Alaska
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California
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Connecticut
District of Columbia
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip / Postal Code
Bank Account Information
5
Pay With Check
Routing Number
Account Number
Verify Account Number
Bank Account Type
Account Type
Checking
Savings
Secure server
128-bit encryption
Pin Pad Display
Credit Card Information
5
Manually Enter Credit Card Information
Card Number
CCV
Expiration Month
Exp. Month
1 - January
2 - February
3 - March
4 - April
5 - May
6 - June
7 - July
8 - August
9 - September
10 - October
11 - November
12 - December
Expiration Year
Exp. Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
Is this a Corporate or Business card?
Please Select
YES
NO
Secure server
128-bit encryption
Credit Card Information
4
Swipe Credit Card
Secure server
128-bit encryption
Using your EMV terminal (
):
1. Choose LinkID =
2. Swipe or Insert Card
3. When finished, click the continue button below
Masked Card Number
Card Type
Expiration
First Name
Last Name
Billing Zip
Is this a Corporate or Business card?
Please Select
YES
NO
Payment Approved
Payment Details
Auth Code:
Transaction ID:
Reference ID:
:
:
:
:
:
Transaction Type:
Card Type:
Card Number:
ACH Account:
Name:
Amount:
:
Total Amount:
Controls
X_______________________________
Merchant Copy
X_______________________________
Customer Copy