Credit Card Form

**MANDATORY  REQUIREMENTS ~ FRAUD PREVENTION**


1*  1) A copy of the Credit Card  (copied on both sides)
and
2)  A copy of any Government photo I.D

The following copies can be faxed to our office along with the Credit Card Form  in order to process your credit card.
Once processed, a receipt and confirmation approval code will be sent via email within 24 hrs



PLEASE NOTE
: We will need to send some documents / contracts that will need to be signed,
make sure you have a working  fax number and / or email .
Full name on the card:
Card number
Expiration          
Last 3 digit in back of the card/
for Amex 4 digits in front of the
card  (CVV)   

Billing Adresse          

City           

State        

Zip           
Billing Phone
Number
            
Fax
number  
       
Email
address  
       
Re-confirm
Email address        
 
Amount in US Dollars       
Please note that  9 % fee / sales Arizona tax will be added to your total amount
Automatically once the " Submit " button activated and cannot be refunded once
payment is made and/or  cancelled.
PLEASE NOTE THAT THERE IS A CANCELLATION FEE FOR ANY  
CREDIT CARD TRANSACTION(S) CANCELLED WITHIN 24 HRS ONLY  .
AFTER 24 RHS, ALL DEPOSITS ARE NON REFUNDABLE !
Comment Box

Example : I am sending a
deposit for Fido  .