CREDIT CARD Payment Option
 
Important Notice!
Newkey Media Solutions respects your privacy and will NEVER sell or
distribute your personal information to anyone, for any reason.
 
STEP #1 YOUR INFORMATION

 

FIRST NAME:

  

M.I.:

  

LAST NAME:

  

 STREET ADDRESS:

  

CITY:

  

STATE:

COUNTRY:

 

ZIP:

PHONE NUMBER:

  

CELL PHONE NUMBER:

  

 EMAIL ADDRESS:

  

SEND RECEIPT OF TRANSACTION TO EMAIL ADDRESS:
   
STEP #2 YOUR CREDIT CARD INFORMATION
 

PAYMENT METHOD:

  

CREDIT CARD NUMBER:

  

EXPIRATION DATE:

  
   

CARDHOLDER VERIFICATION VALUE:

  
  The 3-digit code is located on the back of your card, inside the signature area. Typically the signature panel will have a series of numbers, but only the last three digits make up the CVV2 code.
   
STEP #3 PAYMENT FOR SERVICES
 

WEB DESIGN PAYMENT:

WEB UPDATE PAYMENT:

WEB HOSTING PAYMENT:

GRAPHIC DESIGN PAYMENT:

MULTI-MEDIA DESIGN PAYMENT:

MUSIC / RECORDING STUDIO PAYMENT:
   
STEP #4 PAYMENT AMOUNT
 

AMOUNT BEING CHARGED:

  
   
ANY ADDITIONAL COMMENTS:
   
I Agree that the amount will be charged to THE CREDIT CARD GIVEN FOR PAYMENT TO Newkey media solutions for services being provided.

 

  

 
 
 
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