Online Payment System
All fields are required!
As a convenience to our clients and in support of the "Go Green" initiative, we are providing a secure on-line payment system. You can pay your account using American Express, MasterCard, Visa, Discover, Diner's Club or PayPal. Please complete the following form and Submit it. If you prefer to use PayPal, just log into your PayPal account and use ed@talahi.com to send a payment.


By submitting this form, you authorize Talahi Media Arts to charge your credit card for to pay for the amount you noted above. We will send you an e-mail receipt outlining any and all credit card charges.

Did you read and understand the above paragraph?



What type of credit card?
Business Name:
Amount of payment:
Name as it appears on card:
Billing Address of Cardholder:
Include Street Address,
City, State & Zip
Credit Card Number:
Credit Card Security Code:
(what is this?)
Expiration Date: (mo/yr)
Comments:
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