Credit Payment Form

NON-SECURE
CREDIT CARD
PAYMENT
FORM

Enter Credit
Information.

EssayEdge Non-Secure Payment Form
Please supply the following
payment information.

Expect delivery within 2 weeks.

Step One: Choose the number of packets you would like to order

Select the number of packets

Quantity	S&H
100 Packets	$6.50
150 Packets	$13.00
200 Packets	$19.50
250 Packets	$26.00
300 Packets	$32.50
350 Packets	$39.00
400 Packets	$45.50

Quantity	S&H
450 Packets	$52.00
500 Packets	$58.50
550 Packets	$65.00
600 Packets	$71.50
650 Packets	$78.00
700 Packets	$84.50
800 Packets	$97.50

Step Two: Submit Payment Information

Credit Card information

Bill my credit card for these purchases.

Your card's expiration date: [MM/YY] /

Enter card number: ( no spaces or dashes )

Billing information (must match card holder)

Enter the card holder's Name:

Enter the card holder's Address:

Enter the card holder's City:

Enter the card holder's State:

Enter the card holder's Zip:

Enter the card holder's Country:

Step Three: Submit Shipping and ContactInformation

Shipping information

Ship to Name:

School Name:

Ship to Location: School Home

Address1:

Address2:

City:

State:

Zip:

Country:

Enter your contact information

Email Address:

Phone Number:

Special instructions or comments

You are not done yet! Please click the below "Continue" button to preview your order before you submit it.