WEBii Online Payment Form

Welcome to Webii's easy online payment center. You can apply a credit card or check payment to a new order or to an existing account. If you wish to use the same credit card that you have on file with us, there is no need to submit this form. If you are changing your contract length, mailing address, or other important information, please contact us by email so we can properly update your records.

Domain Name *

Name *
Email *
Phone *
Payment Type *	select card type or check draft
I am *
Amount of Charges *	(US Dollars)
Note/Memo :

Checking Account Payment
Please be assured that this payment method is a perfectly legal and valid bank draft. We utilize approved banking standards to process checks that are submitted online. You check payment will be processed as a ONE time payment based on the check number that you provide, it will not be processed as an automatic recurring withdraw. Please, do not mail us your original check to avoid duplicate payment processing. Please follow these simple instructions: Take a unique check from your checkbook, fill it in as if you were going to mail it to us, then record it in your check register. Make your check payable to: WebXess, Inc. Copy ALL the information on that check to this form. Routing number is always 9 digits. Double Check all information on the form to be correct. Click on the "Submit Payment" button below. Write "VOID" on your check and keep it as a receipt. Do NOT mail us the original check, to avoid duplicate payments. Your payment will appear on your next bank statement. NOTICE: Any individual who chooses to submit "Fraudulent" checking account information will be prosecuted to the full extent allowable by law. Returned checks will accrue an additional fee.

Customer Information please enter information from check

Name :
Address :
City :
State :
Zip :

Bank Information please enter information from check

Bank Name :
Address :
City :
State :
Zip :

Check Information please enter information from check

Check Number :
Amount :	(US Dollars)

EXAMPLE OF ROUTING NUMBER & ACCOUNT NUMBER

Routing Number :	\|:
Account Number :	" '

Memo :

By submitting this check payment information you authorize WebXess, Inc. to process this check information in a bank draft form. No additional payments will be processed via this check method without your prior authorization.

Credit Card Payment
Card Type :
Card Number *
Card Security Code *
Expiration Date :

Name on Card :
Billing Address :
City :
State :
Zip :
Country :

Need Help With Your Payment? Call us at 888-932-9377 or email accounting@webii.net.