Beaver County - Sheriff's Office
             
Equipment Leasing
Installation Fees:   $100.00   Quantity:   Item Subtotal:  
$0.00
Ankle Monitor (per day):   $14.00   Quantity:   Item Subtotal:  
$0.00
SoberTrack Monitor (per day):   $14.00   Quantity:   Item Subtotal:  
$0.00
Ankle Monitor Charger:   $75.00   Quantity:   Item Subtotal:  
$0.00
SoberTrack Charger:   $25.00   Quantity:   Item Subtotal:  
$0.00
Ankle Monitor Car Charger:   $75.00   Quantity:   Item Subtotal:  
$0.00
 
Equipment Replacement Costs
Charger:   $75.00   Select:   Item Subtotal:  
$0.00
Ankle Monitor:   $250.00   Select:   Item Subtotal:  
$0.00
SoberTrack Unit:   $500.00   Select:   Item Subtotal:  
$0.00
SoberTrack Charger:   $25.00   Select:   Item Subtotal:  
$0.00
Ankle Car Charger:   $75.00   Select:   Item Subtotal:  
$0.00
 
UA Test Box:   $30.00   Quantity:   Item Subtotal:  
$0.00
 
Total:
$0.00
Physical Address Info. (No PO Box)
First Name: Last Name:
Address:
Address:
City: State/Province: ZIP/Postal Code:
Phone: Email:
Payment Information
Method of Payment:
Convenience Fees: Credit cards: 2.5% ($1.50 min)
                    (+1.5% convenience for foreign cards)
Update name from Physical Address Info. (No PO Box)
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Physical Address Info. (No PO Box)
Cardholder's Name:
Billing ZIP/Postal Code:
 
Please be aware that credit card payments will reflect on your statement as
County UT 8007640844 ClintonUT
Use Instant Payments to accept payments for your business.
SIP Program & Data © 2006-2018 Instant Payments All rights reserved.
~ Terms & Conditions ~ Privacy Policy ~ Contact Us ~
SIP slave Version 2.17; API: 2.4
Get Help RSI Security Instant Payments, Payment Processing Service, Clinton, UT