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 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Security Code Cardholder Name Your total payment amount
