Hosting and Domain Payment

Name*
Company*
Email (where invoices and receipts will be sent)*
In order to setup your domain and/or hosting accounts, please select from the payment options below:
- CC: I would like to provide my credit card information on the secure form below.
- CC: Use my credit card already on file with Savy.
- CC: I would prefer to provide my credit card and billing information over the phone, instead of the secure form below.
Credit Card Info
1) The name on card, address, city, state, and zip code fields all need to match those items on your payment card statement.
2) The security code is also known as the CSV code and is the 3-digit number found on the back of your payment card.
Name on Card
Address
City
State
Zip
Type (We accept VISA, MasterCard, Discover, AMEX)
Card Number
Expiration Date
Security Code
Credit Card Authorization*
- I authorize Savy to use my credit card for setting up my hosting and/or domain accounts.
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In order to setup your domain and/or hosting accounts, please select from the payment options below: