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Payment Form
You can make a payment to PHRF New England with a Visa or Mastercard by filling out the following form. Please be sure to indicate your Fleet and the purpose of the payment. We will send you an email receipt to confirm your payment. If you are paying individual memberships, do not use this method if you belong to anything but the NEW fleet or the Canadian fleet. All others should go through their local fleet.

F Name: (leave this field blank)
L Name: (leave this field blank)
Payment For:
Amount: *
$0.00
  Billing Information
Name on Card: *
Address: *
City: *
State: *
Zip Code: *
Country:
Phone: *
Email Address: *
  Credit Card Information
Card Type: *
Card Number: *
Expiration: *
 
* indicates required information



   
(The next screen will require you confirm your information before payment submission.)

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© 2018 PHRF New England
© 2018 PHRF New England