One Time Trash/Bundle and Scrap Tire Payments : Bill Pay : Uribe Refuse

Pay Your Bill Now

This form is for one time payments only if you do not have your account number and Scrap Tires

**Please use our new Uribe Refuse Bill Pay for payments if you know your account number**

**Please use our A 1st Rate form for any pumping payments**

Type of Account

Account # (If you don't know, please put XXX) (Required)

Payment Amount (Required)

Name

First Name *

Last Name *

Organization

Address Line 1 (Required)

City (Required)

State (Required)

842119c8qnrq

Zip Code (Required)

Phone (Required)

E-mail Address (Required)

Select a Payment Method

Cardholder Name (Required)

Credit Card # (Required)

Expiration Date (Required)

Security Code (Required)

cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

Billing Zip Code (Required)

Account Holder

First Name

Last Name

Account Type

Account Number (Required)

Routing Number (Required)

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged