AG00003_.gif (10348 bytes)Purchase

[ DaRomancer's House of Poetry ]

Up a level

 

Pay By Electronic Check
Select Product to order
Name Enter first name and then last.
Street Address
As shown on your check.
Street Address
As shown on your check.
Zip/Postal Code
Country
As shown on your check.
Check Example
Check Micro-line
From the bottom of the check.
Check Number
Social Security Number

neoarule.gif (1971 bytes)
Credit Card Information

***Credit Card VISA
MasterCard
American Express
Credit card number
Expiration date
Name as it appears on card

***the address for the credit card must match the bill to address above.

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