UAB Libraries Payment Processing Form

Welcome to UAB Libaries' online payment processing form. Field's marked with an asterisk (*) are required.
Customer Email:(*)
Please enter a valid email address.

Customer Name (as it appears on credit card): (*)
Please enter a customer name.

If name on the card differs from the name associated with the transactions, then please provide the latter in the 'Identifier' field (SEE: BELOW)

Daytime Phone: (*)
Please enter a valid phone number.

Please provide information in either of the the prescribed formats (e.g., domestic: ###-###-#### or international: +## ## ########).

Amount: (*)
Please enter an amount.

Please provide information in the proscribed format -- no symbols or commas (e.g., ###.##). Please contact UAB Libraries for transactions outside the allowable range: ($0.25 - $999.99).

Transaction Type:(*)
Please select a valid transaction type.

For ILL and document delivery related transactions, please select ILLiad. If payment is associated with an invoice, then please provide the invoice number in the Identifier field (BELOW)

Identifier:
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For tracking purposes, please provide a transaction identifier [invoice #, customer's name associated with the transaction (if it differs from name on Credit Card), etc.].

Comments
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(*)
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