Invoice Payment

Please enter information on this form to make a payment on your Sego Lily Collective or Motherfed account.

First Name*

Last Name*

Organization*

Email*

Invoice Number (if applicable)

Enter Amount*

Comments

Total Amount

Gross Amount

Payment method *

Credit Card
PayPal

Credit Card Number*

Expiration Date*

CVV Code*

Card Type*

Card Holder Name*