ChildStrive - Acceptiva

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for choosing to submit your payment online using our secure Bill Payment system. You can choose the amount you wish to pay. Since this system is not directly tied to your account, we will ask you a few identifying questions to ensure we credit your account properly. If you have any questions regarding your account, please contact our Billing Department at 425-353-5656 or email: billingdepartment@childstrive.org.
Please enter your payment in the box below.

Bill Payment Amount

Child Information

First Name: *

Last Name: *

Birthdate: *

Payer Information

First Name: *

Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *