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payment 2 – backup

First Name:

Last Name:

Email Address:

Credit or Debit Card Number

Expiration Month:

Expiration Year:



foreach (range($thisYear, $startYear) as $year)
{
if ( $year == $thisYear) {
print ” . $year . ”;} else {print ” . $year . ”;
}
}
?>

CVC:

Payment Amount:

Total Amount Payable ($):

When you click “Submit Payment” below, your card will be charged