Tech support contact - Paypal along with check options

Tech support contact form
Your name

First NameLast Name
E-mail
Phone Number
Payment Options

My Products

Tech Support (per hour)$30.00

Number of hours

Hardware Maintnence (per hour)$30.00

cleaning

Total $0.00

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Pay by check
Please send us a check to the following address :$60
Should be Empty: