Secure Payment form for "jujugems" eBay auctions


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We are experiencing problems with the server - so if you are UNABLE TO SEND your order kindly email us with your phone number , order and payment method .... and we will be happy to respond ASAP - we do apologize for any inconvenience!

Pay Now with Paypal - Click Below!

PAY ME DIRECTLY for your order with our "SECURE SERVER"

24 hr shipment on all purchases

accepting Visa /MC/ Amex/ Check Card/ Discover

SECURE PAYMENT FORM

Payment for Auctions

BILL TO:

Full Name:

Address:

Apt:

City:

State:

Country or Province:

Zip/Postal Code:

Email: (*required for confirmation)

Phone: (optional)

SHIP TO:

(if same as "BILL TO" leave BLANK)

Full Name:

Company Name: *required
if sending to a Business

Address:

Apt:

City:

State:

Country or Province:

Zip/Postal Code:

Payment Method:

Visa MasterCard Discover Amex Debit Check Card    PayPal

*I must have this info down below to process your credit card ... all transactions are processed thru my credit card terminal and are not transmitted thru the internet for your privacy & security. Only the information you provide is sent encrypted.

Card Type:

Name of Bank as it appears on card:

Card Number:

Expiration Date:

Card Holder (name as it appears on card):

*COMPLETE ADDRESS where your credit card statement is sent to for verification purposes ONLY:

*ZIP CODE (where credit card statement is sent to for verification purposes ONLY):

($1.00 additional s/h for each EXTRA item purchased)

First Class/Air Mail   $4.95 Worldwide (or as stated in auction)
Priority Mail     $6.95 in the US (or as stated in auction)
Global Priority International Mail     $25.00    Outside the US
Overnight Express Mail     $24.95    in the US (or as stated in auction)
      includes $100 insurance
Ring Size(s) NEEDED:

Please enter ITEM numbers and/or AUCTION numbers:

Delivery Confirmation    .75

Signature & Delivery Confirmation  $2.50

Please add any comments or Instructions you have below as well as Coupons or Gift Certificates you may have:

Insurance up to $50      $1.95

Insurance up to $100    $2.95

Insurance up to $200    $3.95

      ( $1.00 extra per $100 thereafter )

You will be sent an EMAIL CONFIRMATION with total charged to your card and shipping information within the next 24 hours.

I would like my item Gift Wrapped for FREE!



When successfully sent - you will receive a "Thank You" email confirmation to acknowledge that payment information has been transmitted securely!

This form is being safely sent via our SSL SECURE SERVER ... information is encrypted for your privacy and security using a Thawte Certificate. All information transmitted thru this site is ONLY for the use in Processing your website order - we respect your privacy and will never sell, trade or exchange your personal information with anyone else EVER!

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Last Updated 12/28/09