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  PAYMENT FOR IPX SERVICES PROVIDED FOR CERTIFICATION BY NTCB

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GENERAL INFORMATION

You may use this form to:

  1. Obtain initial certification
  2. Renew your certification
  3. Modify your certification by adding additional certifications

See your application form for the amount of money due as certification fees.

NOTICE: Your credit card statement will show this payment is made to IPX Services.

Enter the Total Amount Due $

First Name: Last Name:
Address:
City: State: Zip:
Country:
Phone Number:
E-Mail Address:
PURPOSE OF PAYMENT:
THANK YOU!

 
     
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