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Secure Credit Card Payment Form

 
 

Please fill in the following form to pay your invoice using Secure Credit Card facilities.
Note: You must have a proforma invoice number supplied by PSG Group in order to make use of this feature.


This form uses 128 bit SSL, the strongest commercially available level of encryption. All your private data will be encrypted at all times whilst in transit over the Internet. You should see a solid padlock in your browser status bar which indicates that the encryption is taking place.


 
 

Proforma Invoice Number: (Document number - starts with PR...)

 
 

Credit Card holders name:

 
 

Company name:

 
 

Contact telephone number:

 
       
 

Credit Card details

   
 

Address:

 
 

 

 
 

 

 
 

Postcode/ Zip code:

 
 

Country:

 
 

E-mail:

 
 

Card type:

 
 

Card number:

 
 

Issue number: (Switch only)

 
 

Expiry month:

 
 

Expiry year:

 
 

Security Code (This is the last three digits code on the signature strip on the reverse of the card)

 
   
 
 
 
 
Plastic Shims and Gaskets Ltd is a member of the Gasket Cutter's Association BSI Accreditation PSG Group have been accredited to the relevant British and International Quality Standards since 15th August 1996. We accept all the major credit Cards: Visa, Master Card, Switch, Solo, Visa Electron, Maestro, JCB, Cheques, etc...
Call us now on: +44 (0) 20 7740 9705 © 2005 Plastic Shims and Gaskets. All rights reserved.