Credit Card Payments - SPEC Design Group

Name

+ Please enter the name of the addressee as displayed on invoice.

Invoice Number

Payment Amount

+ Payment amount is the 'Invoice Total' as displayed on invoice.

+ Credit Card payments incur a 3% administration fee in addition to the above payment amount. The amount will be rounded off to the nearest cent.

Credit Card Type

VisaMaster

Cardholder Name (as displayed on card)

Card Number

---

Card Expiry

123456789101112Month/2014201520162017201820192020Year

Telephone Number

Agreement

I authorise SPEC DESIGN GROUP to charge the above invoice amount to my credit card.