Electronic Check
Discount - subtract $10 as thanks for using this fast, new, simple and secure
method. We pass the savings on to you.
You can use
http://SecurePay.com
by entering the numbers from a standard paper
check.
First Name: Last Name:
Street:
City: State:
Zip:
Driver's License Number:
State:
Phone:
Email Address:
Check Number:
Routing Number:
Account Number:
Amount:
Memo / Description: Keep the paper check for your records instead of mailing it.
Credit Card
American Express
is preferred No Discount - sorry.
Credit card companies take 3.9%.
Tangible merchandise only
You can use AmEx , Visa, MasterCard, Discover credit card
Credit Card Number:
Expiration Date:
MM/YY
Credit Card Verification Number:
See the back of your credit card for the 3 or 4 digits
Billing Address for your credit card:
Name:
Billing Street:
Billing City:
State:
Zip:
For more security, you can encrypt the credit card number
using a code or call us at
202-829-4444 with your credit card information. Credit card abuse will
be reported to the appropriate authorities. Charge back attempts will be reported to the
ChargeBackBureau . Please enter your Billing
Address in the box above. The charge will appear on your credit card bill from "C I
CORPORATION"