Credit Card Order Form

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Thank you for your order. You will be sent a confirmation email with the total depending on your choices. If your card is declined we cannot complete your order. Your payment will show the charge as paid to: TM Moore. Thanks for your patience.

Name:   Email:

Your billing address:
Street:   Address 2:

City:   State/Province

Zip/Code

Shipping address is same as billing address

Your shipping address:
Street:   Address 2:

City:   State/Province

Zip/Code

Enter each item you want.
Catalog Description Price

If you want more, just fill out another form and send it to me.

Shipping: USPS First Class or Parcel Post (See the Terms for more information.)

Payment via Credit Card:

Card Type:
MasterCard   Visa   AmEx   Discovery   Debit Card

Credit Card No. (16 digits)

Expires: Month   Year

Name on card:   CVV (3 or 4 digits)

Zip Code*:   *Now required for all transactions

 

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