Make A PaymentAll charges are subject to a 3% transaction fee. 1Payee Info2Credit Card Info * = RequiredCHOOSE YOUR PAYEE TYPEPRIME Payees* Currently Driving for PRIME Not Currently Driving for PRIME In-House Associate Prepaid Customer EcoShred Claims Success Leasing Donations HiddenCurrently Driving for PRIMECurrently Driving for PRIME Payment For* Insurance Negative Balance Other Currently Driving for PRIME Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Current Driver payment amount Price: $0.00 Driver Name* First Last Driver Phone*Please enter a valid phone numberDriver Email* Please enter a valid email addressCurrently Driving for PRIME: Driver Code* HiddenNot Currently Driving for PRIMENot Currently Driving for PRIME Payment For* Insurance Negative Balance Not Currently Driving for PRIME Payment Amount* Not Current Driver Name* First Last Not Current Driver Phone*Please enter a valid phone numberNot Current Driver Email* Please enter a valid email addressNot Current Driver Code* HiddenIn-House AssociatePRIME Associate payment for:* Insurance Other PRIME Associate Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to PRIME Associate payment amount Price: $0.00 PRIME Associate Name* First Last PRIME Associate Phone*Please enter a valid phone numberPRIME Associate Email* Please enter a valid email addressIn-House Code* HiddenPrepaid CustomerPrepaid Customer Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Prepaid Customer payment amount Price: $0.00 Prepaid Customer Name* First Last Prepaid Customer Phone*Please enter a valid phone numberPrepaid Customer Email* Please enter a valid email addressCustomer Code* HiddenEcoShredEcoShred Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to EcoShred payment amount Price: $0.00 EcoShred Customer Name* First Last EcoShred Customer Phone*Please enter a valid phone numberEcoShred Customer Email* Please enter a valid email addressEcoShred Customer Invoice #* HiddenClaimsClaims Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Claims payment amount Price: $0.00 Claims Customer Name* First Last Claims Customer Phone*Please enter a valid phone number.Claims Customer Email* Please enter a valid email address.Claim #* HiddenSuccess LeasingSuccess Leasing Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Success Leasing payment amount Price: $0.00 Success Leasing Customer Name* First Last Success Leasing Customer Phone*Please enter a valid phone number.Success Leasing Customer Email* Please enter a valid email address.Success Leasing Truck #* HiddenDonationsDescription*Donation Amount* All charges are subject to a 3% transaction fee.Associate Name* First Last Associate Email* In-house / Driver Code* HiddenCalculated Payment AmountTotal Payment Amount Payment amount + 3% transaction feeTotal Payment Amount Total Payment Amount Payment amount + 3% transaction feeTotal Payment Amount HiddenCredit Card InfoCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Prime Inc.2740 North Mayfair Springfield, MO 65803Drive for PrimeMake A PaymentAll charges are subject to a 3% transaction fee. 1Payee Info2Credit Card Info * = RequiredCHOOSE YOUR PAYEE TYPEPRIME Payees* Currently Driving for PRIME Not Currently Driving for PRIME In-House Associate Prepaid Customer EcoShred Claims Success Leasing Donations HiddenCurrently Driving for PRIMECurrently Driving for PRIME Payment For* Insurance Negative Balance Other Currently Driving for PRIME Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Current Driver payment amount Price: $0.00 Driver Name* First Last Driver Phone*Please enter a valid phone numberDriver Email* Please enter a valid email addressCurrently Driving for PRIME: Driver Code* HiddenNot Currently Driving for PRIMENot Currently Driving for PRIME Payment For* Insurance Negative Balance Not Currently Driving for PRIME Payment Amount* Not Current Driver Name* First Last Not Current Driver Phone*Please enter a valid phone numberNot Current Driver Email* Please enter a valid email addressNot Current Driver Code* HiddenIn-House AssociatePRIME Associate payment for:* Insurance Other PRIME Associate Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to PRIME Associate payment amount Price: $0.00 PRIME Associate Name* First Last PRIME Associate Phone*Please enter a valid phone numberPRIME Associate Email* Please enter a valid email addressIn-House Code* HiddenPrepaid CustomerPrepaid Customer Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Prepaid Customer payment amount Price: $0.00 Prepaid Customer Name* First Last Prepaid Customer Phone*Please enter a valid phone numberPrepaid Customer Email* Please enter a valid email addressCustomer Code* HiddenEcoShredEcoShred Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to EcoShred payment amount Price: $0.00 EcoShred Customer Name* First Last EcoShred Customer Phone*Please enter a valid phone numberEcoShred Customer Email* Please enter a valid email addressEcoShred Customer Invoice #* HiddenClaimsClaims Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Claims payment amount Price: $0.00 Claims Customer Name* First Last Claims Customer Phone*Please enter a valid phone number.Claims Customer Email* Please enter a valid email address.Claim #* HiddenSuccess LeasingSuccess Leasing Payment Amount* All charges are subject to a 3% transaction fee.Add 3% to Success Leasing payment amount Price: $0.00 Success Leasing Customer Name* First Last Success Leasing Customer Phone*Please enter a valid phone number.Success Leasing Customer Email* Please enter a valid email address.Success Leasing Truck #* HiddenDonationsDescription*Donation Amount* All charges are subject to a 3% transaction fee.Associate Name* First Last Associate Email* In-house / Driver Code* HiddenCalculated Payment AmountTotal Payment Amount Payment amount + 3% transaction feeTotal Payment Amount Total Payment Amount Payment amount + 3% transaction feeTotal Payment Amount HiddenCredit Card InfoCredit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20242025202620272028202920302031203220332034203520362037203820392040204120422043 Security Code Cardholder Name Billing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Prime Inc.2740 North Mayfair Springfield, MO 65803Drive for Prime
