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The SECURE Form

Description
  • Single page that will allow you to have a place 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 anytime
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   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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