"First Name" field is required.

"Last Name" field is required.

"Street Address" field is required.

"City" field is required.

"ZIP Code" field is required.

"State" field is required.

"Country" field is required.

"Cardholder Name" field is required.

"Card Number" field is required.

"Expiration Date" field is required.

"Security Code" field is required.

E00003 The element 'creditCard' in namespace 'AnetApi/xml/v1/schema/AnetApiSchema.xsd' has invalid child element 'expirationDate' in namespace 'AnetApi/xml/v1/schema/AnetApiSchema.xsd'. List of possible elements expected: 'cardNumber' in namespace 'AnetApi/xml/v1/schema/AnetApiSchema.xsd'.

Billing

First Name *

Last Name *

Street Address *

Street Address 2

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Security Code *

Billing

First Name *

Last Name *

Street Address *

Street Address 2

City *

ZIP Code *

State *

Country *

Credit Card

Cardholder Name *

Card Number *

Expiration Date *

Security Code *

Pay Invoice

From: Academic Impressions 5299 DTC Blvd., Ste 1400
Greenwood Village, CO 80111
US

To: Jennifer Booz
Wright State University
3640 Colonel Glenn Hwy 126 Student Success Ctr
Dayton, OH 45435
US

Date: January 21, 2021

Invoice Due: February 20, 2021

Invoice Total: $1,295.00

Balance: $1,295.00

Product

Price

Qty

%

Amount

Comprehensive Student Retention Strategies for Men of Color

$1,295

1

0%

$1,295

Notes

Please remit payment to:

CR Mrig Company, dba Academic Impressions

5299 DTC Blvd., Suite 1400

Greenwood Village, CO 80111

Phone: 720-488-6800

Tax ID: 84-1580974

Terms

Due Upon Receipt