Dave`s Volvo Page Credit Card Entry Form

Customer E-Mail / Order Number

Important: Your order confirmation and receipt will be sent to your email address.

*E-Mail:

Shopping Cart Order Number (if known)

Please Enter Order Number

Visa, Mastercard or Discover Billing Information

Your Name:

Name EXACTLY as on your card

Address:

Your statement mailing address

Address:

City:

State (USA):

Province/State/Other:

Zip or Postal Code:

Country:

Phone:

Shipping Information (optional)

Same As Billing Info?

Check box if same as above

Ship To Name:

Name or Company

Address:

Address:

City:

State (USA):

Province/State/Other:

Zip or Postal Code:

Country:

Visa, Mastercard, Discover Credit/Debit Card Information

*Visa, Mastercard or Discover Number:

No dashes or spaces please

Visa, MC, Discover?:

*Expiration Month:

From your card

*Expiration Year:

From your card

*CVV2:

3-Digit Security Code

The CVV2 is a security code that adds an extra level of security to your transactions.  It is a 3 digit number on the back side of your credit card (sometimes the last 3 digits after other numbers).

Miscellaneous Order Information (optional)

Order Details or Comments (optional):

How did you find Dave`s Volvo Page? (optional)

Thank you

Please click the below SUBMIT button. Dave will email you with a confirmation shortly. Thank you.

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