PriorityColo members - update - billing

Update Billing Information

Account Information

Identify Account Using	Customer, Resource, and Provision Numbers Address
Customer Number
Resource Number
Provision Number
Full Name
Address Line 1
Address Line 2
City
State/Province
Zip/Postal Code
Country
Phone Number
Domain
IP Address

Payment Options

Payment Method

Credit Card & Bank Information Other Information

Card Holder's Name
Credit Card Number
Expiration Date	Month Year
CCV Number	(3 or 4 digit security number on card)
Bank Name
Bank's Full Phone #
Account Name
Additional Comments

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