Payment OptionsPayment Options Credit Card - Subject to a 3% processing fee. Check ACH/Wire Please complete the following and we will contact you shortly with the information needed to initiate ACH payment.General InformationName* First Name Last Name Company Name*Phone Number*Email Address* Invoice or Order Number *Invoice or Order Number*Pay by checkTo pay by check, make checks payable to: Premier Relocations and mail your payment to 23923 Research Drive Farmington Hills, MI 48335Payment InformationCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Credit Card Number Expiration Date Month010203040506070809101112 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 CVV2 Cardholder Name Amount to Pay*Please enter a number greater than or equal to 0.Billing Address* Street Address Address Line 2 City State 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 ZIP Code TotalConfirm processing fee* Credit card payments are subject to a 3% processing fee. By checking this box, I understand and accept this. Processing Fee*Total Price: $0.00 Amount Charged to Card $0.00 EmailThis field is for validation purposes and should be left unchanged.
