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*required fields

Please enter your City Fuel Information;
City Fuel Account Number: *
(6 digit number on bill)
Name on City Fuel Account: *
Email Address: *
This payment is for :
Please enter your billing information;
First Name: *
Last Name: *
Billing Address *:
Billing City *:
Billing State *:
Billing Zip *:
Amount to pay on Account *:
Pay by Credit Card
Pay by Electronic Check (personal checks only)
Credit Card Number :*
Credit Card Type: *
Expiration : * /
CVV2 code: *
(3 digit number located on the back of your card)

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