Credit Card Information

Select Payment Method

Use Saved Card Credit Card

Accepted Card Types

Card Number

Expiration Date

01 - January 02 - February 03 - March 04 - April 05 - May 06 - June 07 - July 08 - August 09 - September 10 - October 11 - November 12 - December

CCV

Save Card?

YES NO

Account Type

Personal Checking Personal Savings Business Checking Business Savings

Routing Number

Account Number

Confirm Account Number

Account Holder Name

Account Zip Code

Upon clicking "Submit Payment" below Terms & Conditions, you will be redirected to the PayPal website to complete the order.

Terms and Conditions By submitting this form you are authorizing your credit card to be charged for the indicated amount. There are no refunds available. If you have any questions, please contact SAME at member@same.org. Thank you for your support of SAME.