Application Fee Payment Form

Please submit your application fee by completing the form below.
After completing your payment, please return back to the application.

"*" indicates required fields

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Application Fee

Price:

I would like to cover the cost of the merchant service fee.

Merchant Fee

Price: $0.00

Total

Credit Card*

Important: Once you click Submit, please do not close, refresh, or click away from this page/form until it loads. It may seem like nothing is happening for a few seconds, but please be patient while the transaction processes. You will be redirected to a Thank You page, and you will receive an email confirming your transaction. Thank you for making sure it loads before closing it, and thank you for supporting Golden Beginnings.

Phone

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

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