WEBSITE PAYMENT PLAN FOR 420 Elephant Hi Jeff, I've created a special form for you below to enter your credit card details. This is a secure form. Customer InformationFirst Name*Last Name*Company NameEmail* Phone*Website URL Payment InformationThis page is unsecured. Do not enter a real credit card number! Use this field only for testing purposes. Credit Card* MasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name Plan SummaryWebsite Payment Plan Price: $ 500.00 CAD GST Price: $ 0.00 CAD Total Monthly Fee $ 0.00 CAD Care Plan IncludesWebsite Re-design, hosting with ongoing maintenance and support. NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.