MAKE A PAYMENT TO KH BURCH KIENTZ INC. Only use this payment form if you are making a payment to the Kemp Harvey Grand Forks office. Please enter your account name(Required) Invoice number(Required) Email used for billing(Required) Your payment receipt will be sent here.Amount(Required) Credit Card(Required) American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name Your total payment amount
