After filling out this simple form, you will be connected directly to Google Checkout to complete your transaction. Thank you very much.

Account Name:
(Client Name)
Invoice Number:
Amount:	$

• The invoice number referenced above is for internal use only. Boston Logic shall apply the amount of such payment to customer’s overall outstanding account balance.
• Failure to pay the entire amount owed shall be deemed a partial payment only. Overpayments shall, in Boston Logic’s sole discretion be applied towards customer’s overall outstanding account balance or towards future services fees.