SECURE PAYMENT SITE

Use this form to make a payment on an existing package or to add a product or service to an existing package.

When payment is made by Credit or Debit Card, a 3% processing fee is added.

Bride's Maiden Name *

First Name Last Name

Your Name (If not the Bride or Groom)

First Name Last Name

Wedding Date *

Your Email Address *

example@example.com

Your Phone *

Reason For This Payment *

Payment Toward Existing Package Add Additional Service To Package Payment Toward On-Line Order Add Video Package Search Fee- Old Wedding Shipping Charges Payment On Wedding Book Add Additional Photographer Time Other- Explanation Below

Further Payment Explanation

Enter The Amount Of Your Credit/Debit Card Payment *

Amt w/ 3% added

Amount To Be Charged *

USD (A 3% processing fee has been added)

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code