Sign. If you would like to pay by card, you can process a transaction through our website (xxxxxxxxxxxxxxxxxx.xxx) or by filling the information below and sending it to us. Only if you would like us to process a card should you fill out this bottom portion. Payment processed through your website This page can be emailed to us at xxxx@xxxxxxxxxxxxxxxxxx.xxx Or sent to our farm address at 0000 Xxxxxxx Xxxx Burlington, WI 53105. We will send you a confirmation email when we receive this information. Name on the Card Card Number Security code Type of Card Exp. date Amount
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