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Secure Form
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Use this secure form to send your payment / credit card information to Apparel 2000 Embroidery. We do not recommend sending credit card numbers through email.
First Name:
*
Last Name:
*
Your Email:
*
Billing Address
*
City:
*
State:
*
Zip:
*
Phone #:
*
Organization:
*
Quantity:
*
Attach Image #1 (click "upload")
Attach Image #2 (click "upload")
Name on Card
*
Credit Card Number
*
Exp. Date
*
Security code
*
Comments / Questions:
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