Mencik's Sportscards Secure Credit Card Payment Form

Note: This is a payment form only! If you have not yet placed your order with us, please do so by sending an email (sales@mencik.com) to us first. We will confirm that we have the items you want in stock, calculate the shipping charge for you, and give you a total cost. You can then come back to this payment form and give us your credit card information.

PLEASE PROVIDE THE FOLLOWING CONTACT INFO:
First name
Last name
Address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
E-mail
Payment Amount
 

BILLING INFO

Credit card

Name As on Card

Card number
Expiration date

Customer Identification Number
On the back of your credit card, you should find your account number printed somewhere either above or below the signature block. Following the account account number are 3 additional digits. This is the Customer Identification Number we are looking for. This provides additional assurance that only someone in possession of your credit card can use it for mail or internet purchases. This protects both our customers and ourselves against fraudulent purchases. If the extra 3 digits are not on your card, please enter "XXX".

By pressing the Submit Order button below you authorize Mencik's Sportscards to bill your credit card as listed above.   You must be an authorized user of the credit card in order to place this order.
Thank You!