Credit
Card Type: |
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Card
Number: |
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Card
Verification Number:* |
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Expiration Date: |
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Card
Holder's Name: |
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Contact
E-mail: |
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Contact
Phone: |
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Charges to your credit card will ONLY be
made after your confirmation to your order. Your credit card
may be charged first for proforma invoice and secondly for
the shipping charges depending on your agreement with us.
Filling out the above form does not in anyway mean there will
be charges on your credit card. Get in contact with us for
any further details.
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*For
your safety and security, we require that you enter your card's
verification number. |
Visa
and Mastercard |
AMEX
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The verification
number is a 3-digit number printed on the back of your
card. It appears after and to the right of your card
number. |
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The
verification number is a 4-digit number printed on the front
of your card. It appears above and to the right of your card
number. |
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