For your convenience, there are 2 ways to process your payment.
All payments must be made in US Dollars and charged as Somerset, Inc.

• Online secured server
  

  Complete and submit. You will receive an automated reply to your email address advising receipt of payment.

• By Fax

  Print the form, complete as instructed and fax to the enclosed number. You will receive an email advising of receipt of payment.

  Form available as:

  • Adobe Acrobat File
  • Microsoft Word File
  • HTML File