Payment Portal

1700 Diagonal Road, Suite 750
Alexandria, VA 22314

Steve Dougherty
sdougherty@easconsultinggroup.com

(877) 327-9808 Toll-Free
(571) 447-5500 Local
(703) 548-3270 Fax

W-9

Bank Name: Chase Bank
Account Name: EAS Consulting Group, LLC
Bank Routing Number: 021000021
Account Number: 788537105
Address: JPMorgan Chase New York, NY 10017
Swift Code: CHASUS33

Bank Name: Chase Bank
Bank Routing Number: 111000614
Account Number: 788537105
Currency: USD

Name(Required)

First Last

Email(Required)

Company Name(Required)

Invoice Number or Reason for Payment(Required)

Comment

Amount(Required)

Processing Fee

Price: $0.00

3% Credit Card processing fee on all transactions

Total

Credit Card(Required)

Card Details

Cardholder Name

For delivery via regular US Postal Service:

EAS Consulting Group, LLC
P. O. BOX 736842
Dallas, TX 75373-6842

For delivery via Express Courier Service:

JPMorgan Chase (TX1-0029)
Attn: EAS Consulting Group, LLC & Lockbox #736842
14800 Frye Road, 2nd Floor
Ft Worth, TX 76155