To submit a payment, please fill in all the form fields.
First name *
Last name *
Company name (optional)
Country / Region *United States (US)
Street address *
Apartment, suite, unit, etc. (optional)
Town / City *
State * Select an option…AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)
ZIP Code *
Phone *
Email address to receive receipt *
A 3% merchant fee will be added to your invoice when paying by credit card.
Card number *
Expiry (MM/YY) *
Card code *
Pay by Bank Account (new)
Account Holder Name *
Routing number *
Account number *
Account Type * Checking Savings
Account Holder Type * Personal Business
Thank you for contacting Battery Recyclers of America.
We have received your submission. We will contact you soon with help on your battery recycling project.
If you require any further assistance, you can email us or call us.
