This form is going through a secure server and will be encrypted when you return it. So, it is safe to give credit card information.
When it is filled in, send this form to me by pushing the submit button at the bottom.
If you want, you can email your order to me at email@example.com. You can break your card number up into two emails for safety. Or fill out the form then phone me in Oregon between 10 AM and 8PM, Pacific Standard Time at 503-232-1565 with the card number. Sorry for the inconvenience.
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