Make a Payment by Credit Card

Please complete the information below to process your secure credit card payment. Fields marked with an asterisk are required. You will receive an e-mail confirmation of your transaction for your records. Thank for your payment.

Thank you for your payment to CESI. Below is a copy of your submission. A copy has also been emailed to you. If you have any questions or concerns regarding this payment, please contact us at

Company Name:
CESI Customer #:
Your Name:
Your Phone:
Your E-mail:
Payment: Amount: $

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