THIS PAGE IS SECURE WITH 128bit ENCRYPTION

Company:
Your full name:
Address:
City:
State:
ZIP Code :
Phone Number:
E-Mail:
Invoice Number:
Nerd Name:
Payment: USD,
Payment Method:
Credit Card Number:
Expiry Date: (month/year)
Verification Number: Help?
Name on Card:

NOTE: If this payment is for a company, please enter all the data relating to the company (ie. company address, etc),
otherwise, enter your data and leave "Company" blank

Note: When making your payment securely online it is very important to hit the Submit button once only and wait for the authorization receipt to come up on the screen. If you hit the submit button twice or hit stop and re-submit you run the risk of having your credit card authorized twice for your one payment. The system works quickly and you will have an authorized receipt on your screen within 10 to 60 seconds depending on bandwidth. If any problem occurs please e-mail us immediately at accounting@nerdsonsite.com.

Note: In order to charge in USD, the billing address must be in United States



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