Please complete the form below to make your payment(s)

* Billing First Name: (As it appears on your card)
* Billing Last Name:
* Billing Street Address:
* Billing City, State, Zip: ,
* Phone Number:
* Email Address: (For Receipt)
* School / Bus. Name:
* Rep Number or Code: (From your order form)

* Payment Amount: $
* Card Number:
* Expiration Date:
* Security Code:

I understand this amount will appear on my credit card statement as a charge from "Collective Goods/Books Are Fun".  By clicking the "Submit" button below, I am affirming that I understand and agree to this charge.