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| Payment Information |

Dear Customers,

Please submit your payment information on this form if any of the following conditions apply to you:
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• You have requested to place an order by email, or through other means other than our online store.
• A pending charge has been declined and a new CC needs to be used for payment.
• A new CC needs to be submitted to replace an existing card for reoccurring charges.

Once your information has been entered, we will process any pending order(s) for you as soon as possible.  Confirmation of your order will be sent to the email address provided as soon as payment has been successfully submitted.  If you need to update your shipping information as well, you may do so on this form.

Thank you for your support and if you need anything else, please just let us know!