Payment Form

Name: 
Business Name: 
Address:  
City:  
State:  
Zip:     
Phone:    
E-mail Address:   
Invoice Number: 
Amount: 
Credit Card: 
                   
Visa                       
MasterCard                                              


Card Number: 
Name on Card: 
Expiration Date: 
CVV/Security Code: 
Message: 

By clicking SUBMIT, I (Customer) authorize BetterMousepads.com to charge my credit card above for agreed upon purchases. I understand that my information will not be saved to file for future transactions on my account. Furthermore, Customer agrees to pay for goods and services ordered from BetterMousepads.com and to pay all costs of collection, including, without limitation, collection fees, court costs and attorney fees. Purchaser agrees that all conflicts, legal action, and litigation on this invoice and corresponding purchase order(s) shall be governed by the laws of the State of Utah and shall be subject to the courts of the State of Utah. A service charge of 1.5% per month shall be applied to the unpaid balance on all past due accounts.