Pay Invoice by credit card

This page is for paying invoices with credit card payments only.

If you incur an error or make a mistake please redo the form. All information is processed manually so duplicates or errors will be identified and fixed or we will contact you if there is confusion.

If a If a security error occurs please use this link
Note * = mandatory field

Contact's Name*
Invalid Input: Input the attendee

Invoice Number*
Invalid Input use the correct ASBG invoice number

Please enter in ASBG's invoice number. If you don't know Use Other information to explain

Company Name*
Invalid Input: Enter the organisations name or your name again if not with an organisation

Phone Number*
Invalid Input: Enter your phone number

To contact you if there is an issue

Fax Number (optional)
Invalid Input

Enter your fax number. This is used as a backup if there is a problem with the email address or phone number supplied

Main Email Address*
Invalid Input: Enter a valid email address

Note all correspondence will be via this email. Please add in other information if additional CC'ed emails are required.

Other Information
Invalid Input

Enter other information to advise ASBG of additional instructions such as invoicing to another party or please include these additional delegate's email addresses etc.

 
Credit Card Type*
Select a card type

Credit Card Number*
Enter a valid Credit Card Number. Do not use spaces, only numbers

Do not use spaces, only numbers. Note registrations and cards are processed manually to remove duplicates and errors.

Expiry Date*
Enter a valid expiry date MMYY or MM/YY

Card Holder's Name*
Invalid Input

Amount $
Invalid Input

Please enter in your estimated $ (no decimal) for this booking. ASBG may vary/correct this amount according to membership status or any offered discounts.

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