CM-ECF Internet Credit Card Payment Request Form

United States Bankruptcy Court CM/ECF Internet Credit Card Payment Request Form This is a supplement to my previously-filed Application for Attorney Password for Electronic Case Filing System. I request that the bankruptcy court give me access to the internet credit card payment process of CM/ECF known as "Pay.gov". I understand that for all fee related filings in which I use Pay.gov, I must maintain a valid VISA, MasterCard, Discover, Diners Club, or American Express card to pay for the fee. LA Bar ID#: Name: Firm Name: Address: Telephone number: E-mail address: Contact person: Date: Attorney Signature Please send to: Systems Department Attn: Internet Credit Card Registration United States Bankruptcy Court Eastern District of Louisiana 500 Poydras St., Suite B-601 New Orleans, LA 70130 OR webmaster@laeb.uscourts.gov Email: American LegalNet, Inc. www.FormsWorkFlow.com