The Aiken Horse Subscriptions
Secure Payment Form

 
Order Summary:
Specify month of first issue:
Amount Paid ($24 per year, $14 half year; $10 summer; $6 per issue):
Number of Years:
Customer IP: 35.172.201.102 
Credit Card Information:
Card Type:

Name as on Card:
Card Billing Address:
Card Billing Zipcode:
Card Number:
Card Expiration Date: MMYY
Card ID (CVV2/CID) Number:
 
[What is the Card ID?]
   
     
Please send The Aiken Horse to:
Company Name:
First Name:
Last Name:
Address:
Address Line 2:
City:
State:
Zip:
Country:
Phone Number:
Email Address: