CSC OnlinePayments                               Visa     MasterCard


Payments for Canadian Cinematographer               (Review Policies, Terms & Conditions)



Person Paying for Order:
Payer's Email:
Payer's Phone:
Payer's City:
Payer's Prov/State:



Subscriber Type:


Number of Copies:


Destination Country:


Amount (tax-included):



Full Name for Subscriber:
Mailing Address (Line 1):
Mailing Address (Line 2):
Mailing Address (City):
Mailing Address (Prov/State):
Mailing Address (Postal Code):




               

Payment Details
(All amounts are CAN$)                      

 
SubTotal


Taxes    


TOTAL (will be charged to your credit card)




Credit Card Information
Visa     MasterCard
Credit Card Type            


Credit card number        


Name of Card Holder          


Expiry date                 Month(2digits)=       Year(2digits)=


Security Code (3-digit code at the back of the card by the signature )