Regal Tech Virtural Pay

Credit Card Payment


Customer Information
*Customer Number Max of 6 digits
*Contact Name
*Card Holder First Name
*Card Holder Last Name
*Credit Card Billing Address
*Credit Card Billing City
*Credit Card Billing State
*Credit Card Billing Zip Code
*Phone #
*E-Mail (i.e.
*Verify E-Mail


Credit Card Information

*Credit Card Number

*Credit Card Exp. Month
*Credit Card Exp. Year
*CVV2 Security Code
amex code


Invoice Information

Please Choose:

Payment Message
*Required Field

Please Note: Your payment plus a 2% Convenience Fee will appear on your credit card statement as a charge from "Baker Distributing". By clicking on the button below you will be given the amount of the Convenience Fee and grand total before submitting the payment.


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