Credit Card Entry Screen

Credit Card Details		Please select a credit card for your purchase. All credit card information will be encrypted and secure.
	Card Type
		Enter your Card Number (Please exclude any spaces between the numbers).
	Card Number
	Expires	Month (MM) Year (YYYY)
		Type your name (exactly as it appears on credit card; please exclude middle initial, title, or suffix).
	First Name
	Last Name


Credit Card Billing Address		Type the billing address exactly as it appears in your credit card statement.
	Street
	Apt.
	City
	State	Zip Code
		Type the phone number associated with your billing address.
	Phone Number