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Credit Card
Payment Form
Credit Card Payment Form
We need a little information to get your payment setup

Please fill out the credit card information form below. Once your payment is setup your payment information will be deleted from our web server. We absolutely never keep customer credit card numbers on file – not on our web server and not in our office.

Please note: you are not charged when you fill out this form. We use this information to setup our payment system. You will receive a receipt when your credit card is charged.

We Take Your Security Seriously

This form is transmitted directly to our web server using SSL technology and is deleted from our web server once your payment has been setup.

If you have any questions or concerns about our security procedures please let us know.

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