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Secure Credit Card Processing

Sign up for processing of your sponsorship payments with Visa, MasterCard or debit directly from your checking account!

First Name   billing Name required.
Last Name   billing Name required.
Address   billing Address required.
City   billing City required.
State   Enter your billing State.
Zip Code   billing Zip required.Enter 5 digit zip.
Phone#   Enter area code, then phone #Enter phone here.
E-mail   E-mail is required.Enter as name@place.com
Amount of charge   (Please enter an amount) Enter numbers only.



 


(we will email you the form to complete this option)
Credit Card Account  #   Enter valid card #
Expiration Date   Enter mm/yy

 Agreement . Required. I authorize Incubator Creative Group to charge my account as indicated above and apply these funds to the ministry of Judy Deans. If I have checked the “Recurring Monthly Charge” button above, I am authorizing Incubator to charge my account today and on the 15th of each month hereafter (or within 1-2 business days of the 15th) on a recurring basis. I understand that I can cancel this authorization at any time with 10 days written notice to Incubator or Judy Deans. All payments I am making are gifts and not loans or investments, I have no interests in profits of any kind, and the amounts do not have to be repaid in any way.

Please click the Submit button below to transmit this form. When this form is properly transmitted, you will be redirected to a Confirmation Page. If you don't see the Confirmation Page, check the fields on this form to be sure you have completed all required entries, and then click the Submit button again.

 

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incubator
Incubator Creative Group
65 W-1 Division Avenue ∙ Suite 233
Post Office Box 40007 ∙ Eugene, OR 97404
(541) 998-2470 ∙ www.IncubatorOnline.com