PAYMENT OPTIONS
Credit Card by phone or fax.
Credit Card via Secure Server.
Check by mail.
Check by Fax.
Check via Secure Server.
International Wire Transfer.
 American Express, VISA, Mastercard, and ChekFaxx accepted. You can also establish a Corporate QUICK ACCOUNT for monthly, repeat, or contract purchases.
The following Credit Card Information will be processed on a Commercially Secure Server. If you have received this form, your browser has a compatible encrytion device.
Visa Mastercard American Express
Credit Card Number (Please make sure all digits are included):
Expire Date (Format must be 4 digits. Month and Year only. MMYY example 0809):
Full Name as it appears on the Credit Card:
If your browser is Netscape Secure Commerce Server compatable, this information will be encrypted and processed via a secure server.
|