Auction Payment Form

All fields that are red must be filled in

To pay for your auction win, just complete this form:
(You will be taken to a secure site for entry of credit card information)

Please enter Your Auction Information

Your E-mail Address
Your Ebay User ID
Auction Number (from our email to you)

Please enter the Printer Name & Model Number for the cartridges
Example - Epson Stylus Color 600
Example - Canon BJC 4200

Printer Name & Model Number for Item # 1

Printer Name & Model Number for Item # 2

IF you want to make any comments, enter them here:

Please: Only Enter Numbers & Decimal Points in the boxes below! 
(example = 0.00)

Total Amount of Payment  =$