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Customer Login
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Pay An Invoice
Location #1
Monday-Friday, 8:00am - 5:00pm
Phone:
1.866.801.0022
Baton Rouge Office
Phone
(225) 928-5920
Metairie Office
Phone
1.866.801.0022
Pay An Invoice
Statements
Web Transmittal Form
Statements
Introduction
Web Transmittal Form
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Web Transmittal Form
Web Transmittal Form for Month of
January
February
March
April
May
June
July
August
September
October
November
December
Company
Your Name
Phone Number
E-mail Address
Estimated Number of Statements
Would you like a CD/PDF created?
No
Yes 1 CD
Yes 2 CD's
Yes 3 CD's
Yes PDF
Statement Message
Yes
No
Statement Message Text
Envelope Message
Yes
No
Envelope Message Text
Is this an Audit Month
No
Yes
Provide details in "Additional Details" below
Courtesy Reply Envelope
No
Yes
( If your statements require a Courtesy Reply. It will be counted as one of the inserts)
Additional Inserts
Yes
No
Insert #1
Description: Quantity: Printed By: In case of shortage? (Stop/Continue): Unused? (Return/Discard): Special Instructions:
Insert #1 Artwork
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Insert #2
Description: Quantity: Printed By: In case of shortage? (Stop/Continue): Unused? (Return/Discard): Special Instructions:
Insert #2 Artwork
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Insert #3
Description: Quantity: Printed By: In case of shortage? (Stop/Continue): Unused? (Return/Discard): Special Instructions:
Insert #3 Artwork
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Insert #4
Description: Quantity: Printed By: In case of shortage? (Stop/Continue): Unused? (Return/Discard): Special Instructions:
Insert #4 Artwork
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Additional Details
Please provide information about the file you are sending, include what application you used to create the file.
**Data File Uploads**
Attaching Data Files?
Yes
No
If Yes, then please select from the upload options below:
Data File #1
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Data File #2
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Data File #3
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Data File #4
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Data File #5
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