Monthly Hosting Payment Form

If you have any questions or are experiencing difficulty please call Flyte at 207.871.7921,
Monday thru Friday, between 9:00am and 4:00pm.

Monthly Hosting Details
Invoice Number

Please enter the reference number for the initial invoice if you have one.
Client Name*
Payment Amount*
- $25.00
Your account will be billed this amount monthly for 12 months.
Payment Details
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

Monthly Hosting Details