Tobacco License and Compliance Payment

This field is for validation purposes and should be left unchanged.

Establishment Name(Required)

Establishment City(Required)

Payment Submitter Name(Required)

First Last

Email(Required)

What is this payment for?(Required)

Tobacco Licence

Compliance Check - Clerk Fee

Compliance Check - Establishment Fee

Payment Amount(Required)

Enter the payment amount on your invoice, or application, or that was communicated to you by staff.

Credit Card Processing Fee

Price: $0.00

Total

Credit Card(Required)

Card Details

Cardholder Name