Pay Invoices Online | Electronic Check

Name, Business, and Address must be as they appear on your checks.
Name:
Business Name:
Address:
City:
State:
Zip:
Phone:
Email Address:
Pay to the order of: Adsrus Inc.
Dollars  -  $
Signature:
Routing Number: |:|: Account Number:
Restaurant(s) Where Ad Will Appear:
Invoice Number(s):
Additional Comments: