UAB Lister Hill Library

LHL Payment Processing Form

Welcome to LHL's online payment processing form. Field's marked with an asterisk (*) are required.
* Customer Email:
* Customer Name
(as it appears on credit card):
If name on the card differs from the name associated with the transactions, then please provide the latter in the 'Indenifier' field (SEE: BELOW)
* Daytime Phone:
Please provide information in either of the the prescribed formats (e.g., domestic: ###-###-#### or international: +## ## ########).
* Amount:
Please provide information in the proscribed format -- no symbols or commas (e.g., ###.##). Please contact LHL for transactions outside the allowable range: ($0.25 - $999.99).
* Transaction Type:
For ILL and document delivery related transactions, please select ILLiad. If payment is associated with an invoice, then please provide the invoice number in the Identifier field (BELOW)
* Transaction Method:
Identifier:
For tracking purposes, please provide a transaction identifier [invoice #, customer's name associated with the transaction (if it differs from name on Credit Card), etc.].
Comments:
Please provide any additional information.