Pay credit card

 

Credit Card Payment


FCS I.D.#

Please enter the name exactlty as it appears on the credit card:

First Name
Last Name
Billing Address
City
State
Zip Code
Evening telephone #
Day time telephone #

Payment:

Credit Card Type:

Please enter your credit card number and experation date:

Credit Card Number: Expires: /

Amount you would like to pay: $

Comments?


<% Else ' This part of the script shows a person ' what was selected. %> <%= "" %> <% End If %>

 

Credit Card Payment


FCS I.D.#

Please enter the name exactlty as it appears on the credit card:

First Name
Last Name
Billing Address
City
State
Zip Code
Evening telephone #
Day time telephone #

Payment:

Credit Card Type:

Please enter your credit card number and experation date:

Credit Card Number: Expires: /

Amount you would like to pay: $

Comments?


<% Else ' This part of the script shows a person ' what was selected. %> <%= "" %>
<% End If %>

Check form

 

Auto-Check Form


FCS I.D.#

Enter the following information exactlty as it appears on your check:

Name on Check
2nd Name on Check
Address
City
State
Zip Code
Evening telephone #
Day time telephone #
E-Mail Address #

E-mail Addresses:
General: FCS@FCSINC.BIZ

Customer Service: customerservice@fcsinc.biz

President:president@fcsinc.biz

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