Make a Payment Using PayPal – Maritimes Policyholders Only

With PayPal, your ICPEI insurance premiums can be paid online at the click of a button. All that you’ll need is a copy of your invoice and policy number.

Please complete all fields

Payment - EN

Contact information*
First Name*
Last Name*
Phone number*
Email*
Policy Number*
Policy Number
Policy Number - X*
0 of 9 max characters
This field is hidden when viewing the form
policy-X
Policy Number - H*
0 of 9 max characters
This field is hidden when viewing the form
policy-H
Policy Number - D*
0 of 9 max characters
This field is hidden when viewing the form
policy-D
Policy Number - C*
0 of 9 max characters
This field is hidden when viewing the form
policy-C
Policy Number - V*
0 of 9 max characters
This field is hidden when viewing the form
policy-V
Policy Number - G*
0 of 9 max characters
This field is hidden when viewing the form
policy-G
OR
OR - 8 Digits
0 of 8 max characters
OR - Letter
0 of 1 max characters
OR - Digits
0 of 2 max characters
Payment amount*
Cardholder Name*
Credit Card Number*

American Express
Discover
MasterCard
Visa
JCB
Maestro
Supported Credit Cards: American Express, Discover, MasterCard, Visa, JCB, Maestro
Expiration Date * <span id="cardholder_name">Cardholder Name <span class="gfield_required">*</span><span> Security Code * Cardholder Name
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Payment - EN

Make a payment