Thank you for your payment. Please fill out the below form with your credit card information.
We only accept Visa and Mastercard.

Credit Card Details:
Name on card:
Card number:	16 digits, no dashes or spaces.
Expiry Date: (mmyy)	4 digits, no dashes or spaces
Payment Total:	NZ$ On reciept of this payment form we will reply immediately with your confirmation details.

The above information is kept encrypted and secure, and is accessible only by the vendor you are paying.