"*" indicates required fields Select Payment TypePlease note that you should select either invoice number if you have received one or application fee and rush fee if applicable. Do not enter the amount being paid in both the invoice number section and the application fee section, it will double the payment amount if entered in both sections.Pay Invoice(s) Yes No Invoice(s) number(s) being paidTotal Payment Amount* Application Fee (Either $135 or $185) Yes No Practitioner NameEnter fee that appears on your application* Rush Fee Yes No Practitioner Name*Select one20 Working Days ($750)15 Working Days ($1000.00)10 Working Days ($1500.00)Send email receipt to* In case of questions - please provide a contact personContact Name* First Last Contact Phone*Total EmailThis field is for validation purposes and should be left unchanged. Δ
