Gravity Payments | Payment Form

Invoice Payment

PAYMENT FOR SERVICES RENDERED

Payment Amount

Make this a recurring monthly payment.

Number of Payments

Account Number

Cardholder Information

Account Holder Name

Email Address

Billing Address

Credit Card Information

"I understand this authorization and I agree to the payment as entered to the Town of Concrete. If the above noted payment date/s fall on a weekend or holiday, I understand that the payment/s may be executed on the next business day. I acknowledge that the origination of Credit Card transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this Credit Card and do not dispute the use of this card for this transaction/s. A refund of payment/s will only be granted if approved by the Town Council per card holder request."

Name on Card

Card Number

CVV

Exp.

We Accept:

Town of Concrete
45672 Main Street, PO Box 39
Concrete, WA 98237
Phone: (360) 853-8401
Web: www.townofconcrete.com
Email: info@concretewa.gov