Invoice Payment

Thank you for scanning our QR code and redirecting to our online form. This form will allow us to collect the payment information needed for the invoices that were sent out to your stores. Please fill out the necessary info below and click the submit button.

Information

Store Number

Full Name

Phone Number

E-Mail

Billing Address

Address

City

State

Zipcode

Payment

Cards Accepted: Credit Card Company Logos

(Please Select One Credit Payment)

MasterCard

American Express

Visa

Discover Network

Invoice Number IMD -

Name on Card

Credit Card Number

Exp Month

Exp Year

CVV

*If you prefer to contact us and provide your information with a phone call rather than email, please contact the following number (562) 743-0224 anytime between Monday - Friday 8:00am to 4:00pm