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Zipcon Credit Card Entry Form

This form is for a one-time only payment. Once your account comes due again, you will be asked to make payment again.
If you would like to set up automatic payment each billing period, please go to https://pay.zipcon.net/auto.html.

Your Zipcon account name
Type of account
Comments - Please be sure to use the Other option just above if you enter a custom amount.
Exact name on the card
The billing address
City State Zipcode
Type of credit/debit card
Your credit/debit card number
Expiration date
Three or four digit security code on back of card


You may also send payment via check or money order to:

PMB 122
6910 Roosevelt Way NE
Seattle, WA 98115

If you have questions, please email us.

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