SECURE CREDIT CARD PROCESSING
AND UPDATE CENTER
We Accept VISA, MasterCard and Discover
Card Number

Expiration Date

Security Code

First Name

Last Name

Address

City and State

Zip Code

Phone

Email
no spaces, no dashes please
Merchant Services
enter as mm/yy ... example: 07/08
What's this?
as shown on your card
as shown on your card
where your statement is mailed
where your statement is mailed
where your statement is mailed
no one will call unless there's a credit card authorization problem
for sending confirmation of your order
As cardholder, I authorize the following use of this card information:
Update credit card information only.
CHECK ONE,
BUT NOT BOTH
New payment in the amount of
for
THANK YOU! Please review your information, then CLICK "Process Your Information" below.
Patrick Anderson & Associates, Inc. specializes in a variety of marketing and real estate services, including
www.StSimonsLetter.com and www.foreclosureADtracker.com.  Please visit our general website at
www.PatrickAnderson.net
. Copyright 2009Patrick Anderson & Associates., Inc.
PATRICK ANDERSON
                                                  & associates, inc
Merchant Services