GovPayNet - The Simple Way To Pay

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PLC:

a003oz

Agency:

city of new roads

For:

civic center rental payments

Phone:

225-638-5360

Address:

211 w. main street
new roads, louisiana 70760

*Required Field

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*Customer Name:

Middle:

*Last:

*Address:

*City:

*State:

*Zip:

Phone Number:

(### - ### - ####)

Event Type (exa: Wedding, Banquet,Meeting, etc):

*Event Date:

(Month / Day / Year)

*Business/Organization Name:

Payment Amount

Payment Amount :

Subtotal:

$0.00

Total:

$0.00

Billing Information

*First Name:

Middle Initial:

*Last Name:

*Billing Address:

*City:

*State/Province:

*Zip:

*Country:

*Phone Number:

*Credit/Debit Card:

(enter the full card number without any dashes or spaces)

*Expiration Date:

*Card Security Number:

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