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To Fax Your Credit-Card Information
anytime, from anywhere, 24 hours 'round the clock, safe and secure!
Just print this page and fill in the information,
then Fax to: 1.704.542.1564 (USA)
(our fax machine is secure from all public access areas)
We perform Billing-Address and Card-Identification Number Verification on ALL Credit Cards.
We cannot complete, and will not process, your order until we have this information.
All orders without completed payment arrangements will be purged from our system after 48 hours.
Return to the Payment Submit Page, or use the Text Links Below to visit elsewhere on the site.
| Date of Order: | |||
| Ship-To Name on the Order: |
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| VISA / MasterCard
Discover / AMEX #: |
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| Expiration Date: | Card ID #: See Below for Info |
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| Name on Card: | |||
| The Credit-Card Bill-To Name & Address (the name and address to which the bank sends your statement): |
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| Card Holder's Telephone: |
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| Signature: | |||
Additional Notes or Comments?
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| Where is the Card-ID Located? | ||
| American Express (4 digits, front of card) Green & Gold Cards, on the right Optima Card (blue), on the left |
VISA & MasterCard (3 or 4 digits, back of card) |
Discover Card (3 or 4 digits, back of card) |
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You can click here for more information about The Card-ID Number (new window)
Click on any of the links below to visit elsewhere on the site.
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