Webcentre Credit Card Validation Test

This is a TRIAL order form only -- if you choose to enter your own credit card information, that's just fine -- it will NOT be stored or sent anywhere, simply validated.

This trial will accept only Mastercard and Visa cards -- but the full list that can be accepted includes JCB, Diners Club, Amex, Discovery and Carte Blanche.

If you decide you want to use this facility on our server, contact us for a copy of the HTML and instructions on how to modify it to suit your purposes, or we are happy to configure the service as part of a site development contract.

Bill to:

Cardholder's Name:
Card Number:
Expiry (MM/YY):



Ship to

Your Name:
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