"Create Your Own"  Custom License Plates

SECURE CREDIT CARD ORDER FORM



Please use this form for all OnLine Credit Card Orders.

Cick here for  Price Reference Page

Simply fill in the requested order information below then add your credit card info and you're done!


Order Information
Description of Item(s)


Enter a list of the items ordered in the above space. This is your online order form so please be complete.
Be sure to use a carriage return at the end of each line ("Enter" key). 
Please DO NOT use quotation marks "xxxx" in your description as they interfere with the HTML code
and will cause part of your information to be deleted when submitted.

FOR EACH ITEM PLEASE INCLUDE:

1) quantity of each item
2) type of license plate requested;
   (specify state/province, european, laser tag or airbrushed plate)
3) lettering (if applicable) include spaces where required
4) brief description of each item and (part #, style or colors if applicable)
5) price of each item (Overseas shipments add $15.00 for one plate; or $20.00 for 2 plates)
6) please add $4.95 for optional USPS Priority Mail delivery upgrade
7) FL sales tax (if applicable)
8) You may also include any other special instructions or information
    if necessary.

Please be sure to include ALL costs. (please click here if you need to verify the price of the product)
THIS WOULD BE:
1) total cost of items purchased  (Overseas shipments add $15.00 for 1 plate; or $20.00 for 2 plates)
2) please add $4.95 for USPS Priority Mail delivery (if applicable)
3) FL sales tax (if applicable)
4) If you requested special shipping via Next Day or 2nd Day Air, please add the costs we e-mailed to you.

Total Amount 
Include decimal point and 2 digits for cents - do NOT include the dollar sign ($).

BILLING INFORMATION (as on file with your bank or credit card provider)
 
Last Name
First Name (middle initial)
Name EXACTLY as it appears on the credit card
Billing Address
City
State or Province
Zip Code or Postal Code
Country
Billing Phone
Please include hyphens (i.e. 727-555-8866) Must be the same number as on file with your
bank/credit card provider - usually the home phone number.
E-mail
Customer ID
Enter your first name or your own chosen password here.
SHIPPING INFORMATION  (Fill out ONLY if different than your billing info)  (for U.S. orders only)
  We cannot ship International orders to any address other than the billing address.
Recipient's Last Name
Recipient's First Name
Shipping Address
City
State or Province
Zip Code or Postal Code
Country



International Credit Card Orders (ONLY) MUST supply the next two lines of information.

Name of Bank 
Enter the name of the bank of the credit card you will be using. (International Orders Only)

Bank's Phone Number 
Enter the phone number for the customer service department at the credit card's bank.
All charges are verified with the bank. (International Orders Only)




Click on the button below to be taken to a secure server for your payment information.
Any information you enter will be heavily encrypted and protected so there is no chance of fraud.

After you proceed to the next page you will be asked to press a  SUBMIT TRANSACTION  button after you enter your
payment information. ONLY PUSH THE BUTTON ONCE! If you hit it twice you may get billed twice. It may take up to 30 - 40 seconds for the transaction to complete; please be patient.
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