This credit card processing form is for emergency purpose only.  Just pay with your own credit card using this form.  After you have paid, you must email us at webmaster@alexchiu.com and tell us what to dropship to your customer and your customer's shipping address. 

If you are a free member, just pay us 60% of your total sales.  If you are a premium member, just pay us 50%. 

 CREDIT CARD TRANSACTION
Exact Name on Card:  
Card Number:  
Initial Charge Amount:
You must have a dot after the dollar amount.  For example, if you just type in 78, you will be billed for only 78 cents.  So you must type in 78.00.		  
Expiration Date:   Month     Year
 
E-mail Address:  
Billing Address 1:  
Billing Address 2:  
Billing City, State, Zip Code:  ,