Online Credit Card Payment

Description  

Product: Marketplace Notice Manager (TPA)
Discription: The Marketplace Software was created to ensure compliance with the mandatory notice requirements of the Affordable Care Act. The Standard Edition of the Marketplace Notice Manager was designed for use by a single company. The TPA edition license includes; software updates and basic technical support.
Instructions: Important: After placing your order you will be sent an email with a link to download the Marketplace Notice Manager software. The email will also include your product ID and installation instructions.
Cost: 989.00  
Tax: 0.00  
Total: 989.00  
   

Payment Information
Card Number:  *
Expiration Date:  *   format: mmyy (e.g. 0716)
CID / CVC:  *   3 or 4 digit number on the back of a card
Coupon Code:
   

Billing Information
Are you a current COBRA Solutions Client?     
 
First Name:  *
Last Name:  *
Company Name:  
Address:  *
City:  *
State:  *
Zip:  *
Email:  *
Phone:  *   (e.g. 555-555-5555)
 

* Required Fields