GFO:Document Payment Form

Description of item(s) being ordered (Required)

For Donation Land Claims, please request an estimate first using the request form. This form can be used to submit payment once you have an estimate.

Amount $ (Required)

Enter number in this format, e.g. 1000 or 10. Do not use the $ symbol.

First Name (Required)

Last Name (Required)

Email (Required)

Address

City, State, Zipcode

bnlxpreg649h

Cardholder Name (Required)

Credit Card # (Required)

Expiration Date (Required)

Security Code (Required)

cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

Billing Zip Code (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Pioneers and Early Oregonians