{"id":55,"date":"2015-01-06T20:17:36","date_gmt":"2015-01-06T20:17:36","guid":{"rendered":"http:\/\/secured.mcws.net\/payments\/?page_id=55"},"modified":"2017-06-10T18:38:21","modified_gmt":"2017-06-10T18:38:21","slug":"secured-credit-card-payment","status":"publish","type":"page","link":"https:\/\/secured.mcws.net\/payments\/secured-credit-card-payment\/","title":{"rendered":"Secured Credit Card Payment"},"content":{"rendered":"<p style=\"text-align: left;\">If you are providing updated credit card information for a card that is already on file or was declined please go to our &#8220;<a title=\"Update Credit Card On-File\" href=\"https:\/\/secured.mcws.net\/payments\/update-credit-card-on-file\/\">Update Credit Card On-File<\/a>&#8220;.<\/p>\n<p style=\"text-align: left;\">If you are providing a credit card for the first time, please fill out the following information:<\/p>\n<p style=\"text-align: left;\"><div style=\"display:none\" class=\"fm-form-container fm-theme93\"><div id=\"fm-pages15\" class=\"fm-pages wdform_page_navigation \" show_title=\"false\" show_numbers=\"true\" type=\"none\"><\/div><form name=\"form15\" action=\"\/payments\/wp-json\/wp\/v2\/pages\/55\" method=\"post\" id=\"form15\" class=\"fm-form form15  \" enctype=\"multipart\/form-data\"><input type=\"hidden\" id=\"counter15\" value=\"40\" name=\"counter15\" \/><input type=\"hidden\" id=\"Itemid15\" value=\"\" name=\"Itemid15\" \/><input type=\"hidden\" id=\"fm_shake15\" value=\"1\" name=\"fm_shake15\" \/><input type=\"text\" class=\"fm-hide\" id=\"fm_empty_field_validation15\" value=\"\" name=\"fm_empty_field_validation15\" data-value=\"bd736efb144d599cf463541431fbf5c4\" \/><div class=\"wdform-page-and-images fm-form-builder\" style=\"display:table; border-top:0px solid black;\"><div id=\"15form_view1\" class=\"wdform_page\" page_title=\"Untitled page\" next_title=\"Next\" next_type=\"text\" next_class=\"wdform-page-button\" next_checkable=\"false\" previous_title=\"Previous\" previous_type=\"text\" previous_class=\"wdform-page-button\" previous_checkable=\"false\"><div class=\"wdform_section fm-col-1\"><div class=\"wdform_column\"><div wdid=\"39\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_editor\" class=\"wdform-field\"><p><br><\/p><h1 style=\"text-align: center;\" data-mce-style=\"text-align: center;\">CREDIT CARD AUTHORIZATION<\/h1><p style=\"text-align: center;\" data-mce-style=\"text-align: center;\">I understand I am authorizing Micro Concepts of Chesterfield to charge my Credit Card for agreed upon purchases.\u00a0 I understand that my information will be saved in the point of sale system for future transactions on my account.\u00a0 This authorization will remain in effect until cancelled.<\/p><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"7\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2>Invoice Section<\/h2><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"36\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_36_element15\" class=\"wdform-label\">Invoice Number:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_36_element15\"                           name=\"wdform_36_element15\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"31\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_31_element15\" class=\"wdform-label\">Name or Company Name on Invoice:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_31_element15\"                           name=\"wdform_31_element15\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"37\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_paypal_price_new\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_37_element15\" class=\"wdform-label\">Payment Amount:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"hidden\" value=\"\" name=\"wdform_37_range_min15\" id=\"wdform_37_range_min15\" \/><input type=\"hidden\" value=\"\" name=\"wdform_37_range_max15\" id=\"wdform_37_range_max15\" \/><span class=\"wdform_colon\">&nbsp;USD&nbsp;<\/span><span class=\"wdform_colon\"><\/span><input type=\"text\" id=\"wdform_37_element15\" name=\"wdform_37_element15\" value=\"\" title=\"\" placeholder=\"\"  onkeypress=\"return check_isnum(event)\" style=\"width: px;\"  \/><span class=\"wdform_colon wd-vertical-middle\"><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"3\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">Service Rendered:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_3_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_3_element150\" name=\"wdform_3_element15\" value=\"Custom Web\/Software Services\" onclick=\"set_default(&quot;wdform_3&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_3_element150\"><span><\/span>Custom Web\/Software Services<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_3_element151\" name=\"wdform_3_element15\" value=\"Domain Registration\" onclick=\"set_default(&quot;wdform_3&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_3_element151\"><span><\/span>Domain Registration<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_3_element152\" name=\"wdform_3_element15\" value=\"Recurring Hosting Charges\" onclick=\"set_default(&quot;wdform_3&quot;,&quot;2&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_3_element152\"><span><\/span>Recurring Hosting Charges<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_3_element153\" name=\"wdform_3_element15\" value=\"Reactivate Suspended Account\" onclick=\"set_default(&quot;wdform_3&quot;,&quot;3&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_3_element153\"><span><\/span>Reactivate Suspended Account<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_3_element154\" name=\"wdform_3_element15\" value=\"Labor Charges\" onclick=\"set_default(&quot;wdform_3&quot;,&quot;4&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_3_element154\"><span><\/span>Labor Charges<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_3_element155\" name=\"wdform_3_element15\" value=\"Other - Not Listed\" onclick=\"set_default(&quot;wdform_3&quot;,&quot;5&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_3_element155\"><span><\/span>Other - Not Listed<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"4\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_4_element15\" class=\"wdform-label\">If \"Other - Not Listed\",  please define:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_4_element15\"                           name=\"wdform_4_element15\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"5\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_5_element15\" class=\"wdform-label\">Domain name (if any):<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_5_element15\"                           name=\"wdform_5_element15\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"6\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-row\">    <label  class=\"wdform-label\">Recurring Billing (i.e. Hosting):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-row\"><input type=\"hidden\" name=\"wdform_6_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_6_element150\" name=\"wdform_6_element15\" value=\"Yes\" onclick=\"set_default(&quot;wdform_6&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_6_element150\"><span><\/span>Yes<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row-reverse wd-justify-content\"><input type=\"radio\"  id=\"wdform_6_element151\" name=\"wdform_6_element15\" value=\"No\" onclick=\"set_default(&quot;wdform_6&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row-reverse wd-justify-content wd-width-100\" for=\"wdform_6_element151\"><span><\/span>No<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"8\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2>Personal Information Section<\/h2><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"32\" class=\"wdform_row\"><div type=\"type_name\" class=\"wdform-field wd-width-100 wd-flex wd-flex-row\"><div class=\"wdform-label-section wd-width-30  wd-flex-row\">    <label  for=\"wdform_32_element_first15\" class=\"wdform-label\">What is your Name:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-70\" ><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_32_element_first15\" name=\"wdform_32_element_first15\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_32_element_first15\">First<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_32_element_last15\" name=\"wdform_32_element_last15\" value=\"\" title=\"\" placeholder=\"\"  \/><label class=\"mini_label\" for=\"wdform_32_element_last15\">Last<\/label><\/div><div class=\"wd-flex wd-flex-column wd-name-separator\"><\/div><div class=\"wd-flex wd-flex-column wd-width-50\"><input type=\"text\" class=\"wd-width-100\" id=\"wdform_32_element_middle15\" name=\"wdform_32_element_middle15\" value=\"\" title=\"\" placeholder=\"\" \/><label class=\"mini_label\" for=\"wdform_32_element_middle15\">Middle<\/label><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"10\" class=\"wdform_row\"><div type=\"type_submitter_mail\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_10_element15\" class=\"wdform-label\">What is your EMAIL address:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><input type=\"text\" class=\"wd-width-100\" id=\"wdform_10_element15\" name=\"wdform_10_element15\" value=\"\" title=\"\" placeholder=\"\"   onchange=\"wd_check_email('10', '15', 'This is not a valid email address.')\" \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"11\" class=\"wdform_row\"><div type=\"type_phone\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row\">    <label  for=\"wdform_11_element_first15\" class=\"wdform-label\">What is your Phone Number:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-width-100\" ><div class=\"wd-flex wd-flex-column wd-width-20\">                <input type=\"text\" class=\"wd-phone-first\" id=\"wdform_11_element_first15\" name=\"wdform_11_element_first15\" value=\"\" title=\"\" placeholder=\"\" >                <label for=\"wdform_11_element_first15\" class=\"mini_label wd-flex-column\">Area <\/label>              <\/div>              <div>                <div class=\"wd-flex wd-flex-column \">&nbsp;-&nbsp;<\/div>              <\/div>              <div class=\"wd-flex wd-flex-column wd-width-80\">                <input type=\"text\" class=\"wd-flex-column wd-width-100\" id=\"wdform_11_element_last15\" name=\"wdform_11_element_last15\" value=\"\" title=\"\" placeholder=\"\"  \/>                <label for=\"wdform_11_element_last15\" class=\"wd-flex-column mini_label\">Phone Number<\/label>              <\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"12\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2>Credit Card Billing Section<\/h2><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"13\" class=\"wdform_row\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_13_element15\" class=\"wdform-label\">Name as it appears on the Credit Card:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_13_element15\"                           name=\"wdform_13_element15\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"14\" class=\"wdform_row\"><div type=\"type_address\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 wdform_address wd-flex-column\">    <label  for=\"wdform_14_street115\" class=\"wdform-label\">Credit Card Billing Address:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_address wd-flex-column wd-width-100\" ><span class=\"wd-width-100 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_14_street115\" name=\"wdform_14_street115\" value=\"\"  \/>                <label for=\"wdform_14_street115\" class=\"mini_label\">Street Address<\/label><\/span><span class=\"wd-width-100 wd-flex wd-flex-row wd-flex-wrap wd-justify-content\"><span class=\"wd-width-49 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_14_city15\" name=\"wdform_16_city15\" value=\"\"  \/>                <label for=\"wdform_14_city15\" class=\"mini_label\">City<\/label><\/span><span class=\"wd-width-49 wd-address\">                <input class=\"wd-width-100\" type=\"text\" id=\"wdform_14_state15\" name=\"wdform_17_state15\" value=\"\"  \/>                <label for=\"wdform_14_state15\" class=\"mini_label\">State \/ Province \/ Region<\/label><\/span><span class=\"wd-width-49 wd-address\">              <input class=\"wd-width-100\" type=\"text\" id=\"wdform_14_postal15\" name=\"wdform_18_postal15\" value=\"\"  \/>              <label for=\"wdform_14_postal15\" class=\"mini_label\">Postal \/ Zip Code<\/label><\/span><\/span><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"20\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2>Credit Card Number Section<\/h2><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"21\" class=\"wdform_row\"><div type=\"type_radio\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-wrap wd-flex-column\">    <label  class=\"wdform-label\">Credit Card Provider:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex  wd-flex-wrap wd-flex-column wd-width-100\" ><div class=\"wd-flex wd-flex-column\"><input type=\"hidden\" name=\"wdform_21_element15\" value=\"\" \/><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_21_element150\" name=\"wdform_21_element15\" value=\"American Express\" onclick=\"set_default(&quot;wdform_21&quot;,&quot;0&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element150\"><span><\/span>American Express<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_21_element151\" name=\"wdform_21_element15\" value=\"Discover Card\" onclick=\"set_default(&quot;wdform_21&quot;,&quot;1&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element151\"><span><\/span>Discover Card<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_21_element152\" name=\"wdform_21_element15\" value=\"Master Card\" onclick=\"set_default(&quot;wdform_21&quot;,&quot;2&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element152\"><span><\/span>Master Card<\/label><\/div><div class=\"radio-div wd-choice wd-flex wd-flex-row\"><input type=\"radio\"  id=\"wdform_21_element153\" name=\"wdform_21_element15\" value=\"Visa Card\" onclick=\"set_default(&quot;wdform_21&quot;,&quot;3&quot;,&quot;15&quot;); \"   \/><label class=\"wd-align-items-center wd-flex wd-flex-row\" for=\"wdform_21_element153\"><span><\/span>Visa Card<\/label><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"22\" class=\"wdform_row\"><div type=\"type_number\" class=\"wdform-field\" style=\"width: 510px\"><div class=\"wdform-label-section wd-width-30 \" style=\"max-width: 300px;\">    <label  for=\"wdform_22_element15\" class=\"wdform-label\">Credit Card Number (numbers only):<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section \" style=\"width: 200px;\">              <input type=\"text\"                     class=\"wd-width-100\"                     id=\"wdform_22_element15\"                     name=\"wdform_22_element15\"                     value=\"\"                     title=\"\"                     >              <\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"38\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_text\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100  wd-flex-row wd-align-items-center\">    <label  for=\"wdform_38_element15\" class=\"wdform-label\">Card CCV Code on the back of the card:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-flex-row wd-align-items-center wd-width-100\" ><input type=\"text\"                           class=\"wd-width-100\"                           id=\"wdform_38_element15\"                           name=\"wdform_38_element15\"                           value=\"\"                           title=\"\"                           placeholder=\"\"                                                       \/><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"23\" class=\"wdform_row\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 wdform_select wd-flex-row\">    <label  for=\"wdform_23_element15\" class=\"wdform-label\">Expiration Month on the Credit Card:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-100\" ><select class=\"wd-width-100\" id=\"wdform_23_element15\" name=\"wdform_23_element15\" ><option value=\"\" selected=\"selected\">Select Month<\/option><option value=\"January\" >January<\/option><option value=\"February\" >February<\/option><option value=\"March\" >March<\/option><option value=\"April\" >April<\/option><option value=\"May\" >May<\/option><option value=\"June\" >June<\/option><option value=\"July\" >July<\/option><option value=\"August\" >August<\/option><option value=\"September\" >September<\/option><option value=\"October\" >October<\/option><option value=\"November\" >November<\/option><option value=\"December\" >December<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"24\" class=\"wdform_row\" style=\"position: relative; left: 0px; top: 0px;\"><div type=\"type_own_select\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 wdform_select wd-flex-row\">    <label  for=\"wdform_24_element15\" class=\"wdform-label\">Expiration Year on the Credit Card:<\/label><span class=\"wdform-required\">*<\/span><\/div><div class=\"wdform-element-section wd-flex wdform_select wd-flex-row wd-width-100\" ><select class=\"wd-width-100\" id=\"wdform_24_element15\" name=\"wdform_24_element15\" ><option value=\"Select Year\" selected=\"selected\">Select Year<\/option><option value=\"2025\" >2025<\/option><option value=\"2026\" >2026<\/option><option value=\"2027\" >2027<\/option><option value=\"2028\" >2028<\/option><option value=\"2029\" >2029<\/option><option value=\"2030\" >2030<\/option><option value=\"2031\" >2031<\/option><option value=\"2032\" >2032<\/option><option value=\"2033\" >2033<\/option><option value=\"2034\" >2034<\/option><\/select><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"26\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2>Notes\/Comments Section<\/h2><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"27\" class=\"wdform_row\"><div type=\"type_textarea\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 \">    <label  for=\"wdform_27_element15\" class=\"wdform-label\">Enter any additional comments:<\/label><\/div><div class=\"wdform-element-section wd-flex  wd-width-100\" style=\"max-width: 300px;\"><textarea class=\"wd-width-100\"                      id=\"wdform_27_element15\"                      name=\"wdform_27_element15\"                      placeholder=\"\"                      style=\"height: 100px;\"                      ><\/textarea><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"33\" class=\"wdform_row\"><div type=\"type_recaptcha\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-label-section wd-width-100 wd-flex-row\">    <label  class=\"wdform-label\">Human Check<\/label><\/div><div class=\"wdform-element-section wd-flex wd-flex-row wd-width-100\" ><div id=\"recaptcha1533\" class=\"g-recaptcha\" data-sitekey=\"6LfKkB0UAAAAACyTOgRTapucXTdz_Pxix9iUwgiN\" data-form_id=\"15\" data-badge=\"hidden\"><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"28\" class=\"wdform_row\"><div type=\"type_editor\" class=\"wdform-field\"><h2>Submit Payment Section<\/h2><\/div><\/div><\/div><div class=\"wdform_column\"><div wdid=\"30\" class=\"wdform_row\"><div type=\"type_submit_reset\" class=\"wdform-field wd-width-100 wd-flex wd-flex-column\"><div class=\"wdform-element-section wd-flex  wd-flex-row wd-justify-content-left wd-width-100\" ><button  type=\"button\" class=\"button-submit\" onclick=\"fm_submit_form('15');\"  data-ajax=\"0\"><span class=\"fm-submit-loading spinner fm-ico-spinner\"><\/span>Submit your Payment Information<\/button><button  type=\"button\" class=\"button-reset wd-hidden\" onclick=\"fm_reset_form(15);\" >Reset<\/button><\/div><\/div><\/div><\/div><\/div><div valign=\"top\" class=\"wdform_footer\" style=\"width: 100%;\"><div style=\"width: 100%;\"><div style=\"width: 100%; display: table;\"><div style=\"display: table-row-group;\"><div id=\"15page_nav1\" style=\"display: table-row;\"><\/div><\/div><\/div><\/div><\/div><\/div><\/div><div class=\"wdform_preload\"><\/div><\/form><\/div><\/p>\n<h2 style=\"text-align: center;\"><\/h2>\n<p><span id=\"siteseal\"><script src=\"https:\/\/seal.starfieldtech.com\/getSeal?sealID=uIhwaIxHWybDR7zCL9Pq71i93uTORZTSY3NBEYjtFymOXK0m3osCxJG6C6\" type=\"text\/javascript\"><\/script><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p style=\"text-align: left;\">If you are providing updated credit card information for a card that is already on file or was declined please go to our &#8220;<a title=\"Update Credit Card On-File\" href=\"https:\/\/secured.mcws.net\/payments\/update-credit-card-on-file\/\">Update Credit Card On-File<\/a>&#8220;.<\/p>\n<p style=\"text-align: left;\">If you are providing a credit card for the first time,<\/p>\n<p><span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/secured.mcws.net\/payments\/secured-credit-card-payment\/\">Read more &#8250;<\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-55","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/pages\/55","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/comments?post=55"}],"version-history":[{"count":2,"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/pages\/55\/revisions"}],"predecessor-version":[{"id":80,"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/pages\/55\/revisions\/80"}],"wp:attachment":[{"href":"https:\/\/secured.mcws.net\/payments\/wp-json\/wp\/v2\/media?parent=55"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}