Samson Cables — Secure Payment Form

Use this form to make payments by credit card, usually for orders made outside our web site.
Bolded fields are required.

Name:
Email:
Phone:
Shipping name and address:
Order or auction number (if applicable):
Amount to charge:
Credit card type (Visa or MC only):	Visa MC - We do not accept AMEX or Discover
Credit card number (no spaces or dashes):
Expiration Month/Year:
3- or 4-digit CV Number:	(3- or 4-digit credit card verification number)
Billing name and address (if different):
Comments:

Please click Submit only once.

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