HANDYMAN CONNECTION OF CANTON
Secure Payment Form
Work Order
Order Date
Order Amount
Surcharge (2.7%)
Total Amount
Description
Credit Card Information
Name as on Card
Card Billing Address
Card Billing Zip
Card Number
Card Expiration Date
CVV2/CID
Email Address
Work Order Information
Company Name
First Name
Last Name
Address
Address 2
City
State
Zip
Phone Number
Email Address
Submit
