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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. Enter General Payment Description Here
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)
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