Garden State Insurance Agency Payflow

Garden State Insurance Agency
A Division of Target Underwriting Management Corporation

We accept

and

. We need your customer Id to assure proper credit to your account. The Id appears at the top of your invoice, it is usually your zip code and three or four letters. If you supply an email address, Verisign will send a receipt.

Customer Id
E-mail
Payment Amount

Please enter information as it appears
on your credit card bill. You must
be at least 18 years of age.

Name
Address
City
State	Zip

The remainder of your credit card information will be
collected by Verisign's secure digital server.

Dick Taintor
Garden State Insurance Agency
Contact: rtaintor@target-capital.com Payflow.htm