TheDivorceSite.com

Welcome to our Secure Order Form

Your credit card or check information is protected by state of the art encryption technology.

You have two options for payment below:

1) Credit Card or 2) Electronic Check

For regular mail payment options or a different order form click here.

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GENERAL INFORMATION
First Name: Last Name:
Address:
City: State: Zip:
Country:
Phone Number:
E-Mail Address:


Option 1.  CREDIT CARD INFORMATION

Card Number: Exp. Date:

Option 2.   CHECKING ACCOUNT INFORMATION
(If paying by credit card skip this portion)

At the bottom of your check is a series of numbers, separated by symbols. It is not necessary to enter symbols or spaces in the fields provided below.

Enter the numbers from the bottom of your check as illustrated below.

check.gif (1999 bytes)

Enter the series of nine numbers
between this symbol

Enter the series of numbers
found before this symbol
Check number to use:     (Not required.)
Note: Some banks use a non-standard format in this series of numbers. If your account number includes this symbol , simply disregard the symbols and enter this section of numbers.

Divorce Kit with Processing ($ 39.00)

Submit this form ONCE ONLY. Pressing submit multiple times will cause duplicate orders and charges to your account. Your transaction should be completed in 10-60 seconds, depending on Internet traffic. In some cases, it may take longer.

If you have any problems with this form use this one click here