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Secure Online Credit Card Payment Form

Make your Payment to Hollywood DJs with

Visa, Master MasterCard, American Express, Diners Card, PayPal and all credit cards and debit cards.

Items with a * must be completed before the form can be submitted:

Name*:

 

Street Address*:

 

City*:

 

State/Province*:

 

Zip/Country Code*:

 

Country*:

 

Phone number (with area code)*:

 

E-mail Address*:

 

Date of Event*:

 

Payment Information:

Payment For:

Deposit to book Wedding Reception
Deposit to book Bat/Bar Mitzvah
Deposit to book other type of party
Payment towards balance of your account

Other type of payment
Payment requires checking one or more boxes.

Amount of Payment $:

  (No Comma's in Amount)

CREDIT CARD INFORMATION (Secured by GoDaddySSL)

Please charge my:  VISA   MasterCard American Express Discover PayPal Debit Card

Name On Credit Card:

 

Number:

  (no spaces)

Exp. Date (month/year):

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