Proforma Invoice #

To confirm your order, please send in your payment.
Order Total
Merchandise Subtotal $0.00
Shipping $0.00
Tax* $0.00
Total $0.00
*Please note applicable taxes in effect when the purchase occurs will be charged, which may or may not be reflected in this quote.
Billing Address
Bill To:

Payment Information
Card Type:
Cardholder Name:

Payment Instructions

Option 1: Pay by Credit Card
Please login to the JCI website and pay online or call Customer Service at +1 (770) 238-0454.
For your protection credit card information cannot be accepted via email.


Option 2: Pay by Check
To ensure that your payment is applied as quickly as possible, please make sure your payment is mailed directly to the address below:
JCR PBD Receivables
P.O. Box 734507
Chicago, IL 60673-4507


Option 3: Pay by Wire Transfer
Follow the instructions on this form. Please note that it may take 2 weeks for your payment to be applied.

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