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 Payment

Pay Your BLS Statement Online


Payment Information

Please enter the name of the cardholder and the address where the credit card statement is received.

First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
State:
Zip Code: (5 digits)
Phone:
Email:
Statement Number:
Statement Amount:
Credit Card Type:
Credit Card Number:
Security Code::
Comments:

Our privacy policy prohibits from disclosing the information above to unauthorized person(s) and for unauthorized transactions or soliciting.  All information transimitted via this site is sent over a secure connection and used for the purposes stated herein.

By clicking the Submit button you are hereby authorizing Balanced Legal Solutions to charge the credit card given the amount indicated in the above form.  You also agree to abide by all terms and conditions of the cardholder agreement.