Pay your invoice Make a payment Fill out the form below to make a secure payment! You will receive an email receipt after submission. Client Name* First Last Name of Responsible Party (if different from client) First Last Main Contact Phone*Main Contact Email* Billing Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Invoice Number*Invoice Amount* Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name Service Provider for this Invoice*Please SelectCarrieJessieJordanLindsayRebeccaInterventionTried and True This iframe contains the logic required to handle Ajax powered Gravity Forms. Contact LC4YF! * Name Email MessageCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms. Call (651) 464-3685 Fax (651) 464-3687 Address 20 Lake Street North, Suite 103, Forest Lake, MN Hours LC4YF staff are mostly working remotely. We are open by appointment only.