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 Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Your total payment amount
