Make a credit card payment

Online Bill Payment
Cardholder Information
Date*
Date Format: MM slash DD slash YYYY
Name of client*
First Last
Home Address*
Street Address Address Line 2 City State ZIP Code
Phone number*
Enter your primary phone number. If we have trouble we will call this number.
Billing address options*
- Use home address
- Enter a different billing address
Billing address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email receipt requested?*
- Yes
- No
Email address*
Would you like to set up automatic debit?
- Yes
- No
For recurring payment please complete the additional information below.
I authorize Child & Family Agency to charge my credit card for payment of my childcare or BP Learned for the amount, date, and frequency listed below.
Recurring payment amount*
This amount is not charged today. To make a payment today, please enter amount in "Today's Payment Amount" (further below).
Day/Date of payment*
Frequency*
(Weekly, Bi-weekly, Monthly)
Payment Information
Payment for:*
- Childcare
- BP Learned
Today's payment amount:*
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.

Online Bill Payment