Shared Hosting
 
To make a payment on a invoice, please complete the following:
   
Contact Person : First Name    Last name
 
Company Name :
   
Credit Card Billing address:  
   
Address :
City :
State :
Zip :
Country :
   
Phone No. :
   
E-mail Address :
   
 Invoice # to be paid :
Amount to be Paid :
   

 

 

Payment Details:
 

Card number :
(do not enter space)
Exp. Month / Year :    /
*Security Code :
   
Your credit card will be billed as: 'E INTELLIGENT HOST, LLC'.
   
 
 
  * Visa and MasterCard: On the back of the card in the top-right corner of the signature box. Enter the three-digit number following the credit card number.
  * American Express: On the front of the card. Enter the four-digit number on the right directly above the credit card number. On the Optima card, look on the left directly above the credit card number.