NerdBoy! SSL Credit Card Form

Secure Credit Card Transactions

For your protection, we have taken a number of steps to maximize the security of credit card transactions that are accepted on the NerdBoy! website. Credit Card processing is accomplished using secure processing services. This page and your entry of credit card information is encrypted when transmitted to us via Secure Socket Layer (SSL) which can not be viewed or intercepted by anyone else on the internet.

However, if for any reason, you still feel uncomfortable submitting your credit card through our website, please contact us via phone, Toll Free: 1-866-NerdBoy (637-3269), to process your order.

All fields below are required

Credit Card #: ---

Exp. Month: Exp. Year:

Service to charge:

If service is not selected above, please enter amount to charge:

Invoice #:
Card Holder's First Name:
Card Holder's Last Name:
Card Holder's Address:
Card Holder's City:
Card Holder's State:
Card Holder's Zip Code:
Home Phone
Work Phone
E-mail Address:

* Please note that your computer's unique IP address is also sent to avoid fraudulent charges *

Optional Comments:

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