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G+F Secure Credit Card Authorization Form


  • Contact Information


  • Cardholder Information

    *Please note: postage credit card payment are subject to a 5% handling fee. *Credit card payments for jobs are subject to a 3% pass through fee.
  • NOTE This field is secure and encrypted
  • MM slash DD slash YYYY
  • Visa/Mastercard (3 digits on back), American Express (4 digits on front) This field is encrypted
  • Terms and Conditions

    1. OUTSIDE PURCHASE Unless otherwise agreed in writing, all outside purchases (i.e. hosting and printing services.)as requested or authorized by the customer, are chargeable. 2. RECURRING CHARGES Hosting charges and other monthly fees and retainers are chargeable unless otherwise agreed upon.
  • Please type your full name. Typed name serves as signature.