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Manual Transaction Credit Card Form

General Information:


Credit Card Information:







Three digit number on the reverse side of the card for Visa and MC

Credit Card Billing Information: means the credit card billing address, exactly as shown on your credit card bill. We understand credit card authorization includes checks the credit card billing address, so it is important to provide complete accurate information.






Shipping Information: means shipping address.





Other Information:


Contact Michael Ciccarelli, CAST Software, 35 Ripley Avenue, Unit 1, Toronto, ON M6S 3P2 Canada

Phone (416) 597.2278 Ext. 277 | Toll Free 1.877.989.2278 | Fax (416) 597.9594 | www.cast-soft.com | michael@cast-soft.com