Home / Home / Make a Credit Card Payment All the fields marked with * are required Registration Info * Email * Registration/Invoice Number Customer Contact Info What's this? * First Name * Last Name * Phone (digits only, no spaces or dashes) Additional Contact Number Company Current Address What's this? * Address 1 Address 2 * City * State * Zip * Country Payment Info * Card Holder Name * Credit Card Number * Expire Month 01 - Jan 02 - Feb 03 - Mar 04 - Apr 05 - May 06 - Jun 07 - Jul 08 - Aug 09 - Sep 10 - Oct 11 - Nov 12 - Dec * Expire Year 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043 2044 * CVV * Payment Reason Interstate Move Intrastate Move Local Move Storage International Payment on Account Allied Shipment * Payment Amount ($) Credit Card Fee Amount ($) Date goods were entered in storage Is this payment recurring? The payment amount you enter above should be the agreed upon monthly storage rate. Payments for monthly storage will occur at the beginning of the month, for the agreed upon monthly storage rate.Your first and final storage payments may be prorated based on the number of days of storage that are needed during the current billing month. By checking this box I acknowledge and understand that if my household goods are held in storage at a Coleman World Group, LLC facility, or any facility operated by an affiliate of Coleman World Group, LLC, that I am responsible for payment of the monthly fee for the storage to Coleman World Group, LLC. I hereby give permission for Coleman World Group, LLC to charge my credit card each month for those storage fees until such time that my shipment is delivered from storage and my storage fees are paid in full. Payment Notes Billing Address (corresponding with credit card) Same as current address * Address 1 Address 2 * City * State * Zip * Country * Cardholder Phone Terms and Conditions Terms and Conditions The cardholder hereby authorizes that all actual moving charges for the above-listed Merchant order number(s) be charged to the cardholder’s above-described credit card. The actual moving charges will be the final audited costs of all services performed, including the original services requested, any final balance owed based on the terms and conditions of the type of estimate received from the Merchant, and/or additional moving/supplemental services approved or requested by the cardholder or otherwise required out of necessity. In the event that the final audited charges are in excess of the estimates, the cardholder agrees to be responsible for supplemental charges. In the event that the final audited charges are less than the estimated charges that are charged to the cardholder’s account, the cardholder shall be entitled to a refund. Cardholder agrees that his/her signature on this form constitutes his/her "signature on file" and is his/her agreement to pay all estimated and supplemental charges as described above, and that Merchant is authorized to charge all actual moving charges, including any final balance owed based on the terms and conditions of the type of estimate received from the Merchant, and/or supplemental charges, to the identified account of cardholder. It is understood that the amount charged to the provided credit/charge card may be reflected on the cardholder’s account balance prior to loading of the shipment(s). It is further understood that Merchant may charge the cardholder’s card the estimated cost of the move prior to loading of the shipment and may charge any balance owed on the shipment either before or after delivery of the shipment pursuant to the terms set forth on the Estimate/Order for Service, Bill of Lading, and any applicable governing tariffs or federal law. I have read and agree to the Terms Submit Recurring Payment Do you want this payment to be Recurring? Yes No