EB2Gov POS

Please enter the calculated amount owed in the "Amount" field below

If you have questions or are unsure of the amount due, please contact Astrid Conerly by email or by phone at (985) 369-3898.

Please enter the calculated amount owed in the "Amount" field below

If you have questions or are unsure of the amount due, please contact Astrid Conerly by email or by phone at (985) 369-3898.

Special Events Payment

Taxpayer Name:

Contact Name:

Contact Phone Number:

Name of Event (if applicable):

Month/ Year of Event:

Amount:

EB2Gov Fee:

Quantity:

Payment Amount:

Notes:

Upload Files:

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