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Customer Credit Card Information

First Name: Last Name:

Billing Street Address:

City: State: Zip Code:

Area Code: Phone Number:

E-Mail:

Original Order Information

You are making a payment for:

Child's First Name: Child's Last Name:

School or Organization: Year

Payment Information (We accept Mastercard, Visa & Discover)

Credit Card Type: Credit Card #: Card ID #:
Your Card ID # can be found on the back of your credit card listed after your account number. It is a 3 or 4 dight number. Entering this number is used to verify that you have possession of the credit card which you are attempting to use. It is for your own protection and it is also a security feature of our website to protect against internet fraud.

Card Expiration Date: month Year

Enter in the box below the Total Dollar Amount of your payment.
Total Dollar Amount:

-IMPORTANT INFORMATION - PLEASE READ!!! By pressing the submit button below the customer agrees to the following terms and conditions: -Payments are not CANCELABLE or REFUNDABLE. -Orders will not be filled until the customers credit card information has been humanly verified by EAP's Accounting Department.



You will receive an email response from our accounting department when your order has been charged to your credit card. This normally takes 24-48 hours. After pressing the submit button you will be presented with a Thank You Page confirming your payment.

We suggest you print a copy of this page for your records.
Secure On Line Payment Form

  1. All Blanks MUST be filled in for your request to be processed
  2. After your request is received you will get an emailed confirmation from our accounting Department
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QUESTIONS ???
631-476-0134
Mon-Fri 9am-5pm EST
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