The
SECURE
Form
Description
Single page that will allow you to accept credit card transactions
You will be emailed a location on our secure server to view your order
You can see your orders saved by date
You can view and delete order as you see fit
Requirements
Single page Secure form Standard
$75.00
The Use of our Secure Certificate for one year
$75.00
Renew my Certificate for one more year
$75.00
Custom written forms are available at $55.00 per hour
$150.00
Canadian Per Year
Domain Name Required
Email Address
Name or Company Name
Address
Postal Code / Zip
City
Province/State
Phone Number
Fax Number
Visa
MC
Cheque
Card Number
Exp Date
All Information will be verified before any work begins
Press this button to submit your application form:
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