Course Payment

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(*) denotes a required field
1. Student and Course Information   2. Payment Information
Course Amount $40.00 
Service fee 1.50
Total Amount $41.50
  Check to Copy Student Information to Billing Information
Student First Name *   Billing First Name *
Student Last Name *   Billing Last Name *
Home Phone * -   Billing Address *
Email Address *   Billing City *
        Billing State *
        Billing Zip Code *
        Credit Card Number *
Course   BDI Online   Expiration Date (mmyy) *
        Credit Card Verification Code *

Note: Payment Authorization may take up to a few minutes depending on your connection. To avoid being charged twice DO NOT abort the transaction, close the page or press the Process Payment button twice. When the authorization completes, you will be automatically taken to the next page to continue.

Please Note -
You are making a payment to our agency using the services of GovPayNet. On your credit card statement, the name of this agency Northeast Florida Safety Council will appear along with the letters GPS which is an abbreviation for their corporate name Government Payment Service, Inc.