Pay Invoice

Online Invoice Payment

This page may be used to pay any non-dues related invoices by credit card. Dues payments can be paid at cbia.com/renew.

Please call Cindy Carta at 860.244.1912 with any questions. We appreciate your business.

Online Invoice Payments

Please note credit card processing is only available for invoice payments of $5,000 or less. Thank you.

This field is for validation purposes and should be left unchanged.

First Name*

Last Name*

Company Name*

Phone Number*

Email*

Number of Invoice #'s*

Invoice #1 Number*

Invoice #1 Amount*

Invoice #2 Number

Invoice #2 Amount

Invoice #3 Number

Invoice #3 Amount

Invoice #4 Number

Invoice #4 Amount

Invoice #5 Number

Invoice #5 Amount

Total Payment

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Checksum

Hidden field holding the calculated sum of the Invoice Amount Fields (1-5). Value used to conditionally display the credit card entry and submit buttons only when the total is <$5000

Credit card payments are only accepted for amounts of $5,000 or less.

Please contact Cindy Carta at [email protected] us to review other payment options. Thank you.

Credit Card*

American Express

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MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Billing Address*

Street Address City State / Province / Region ZIP / Postal Code Country

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Pay Invoice

Online Invoice Payment

Online Invoice Payments

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