DCW

Services Payment

All payment options have an additional transactional fee of 3% added for online credit card processing charges and fees. You will be emailed a copy of your receipt upon the submission of this form and successful authorization for payment for this transaction.

DCW Shirts (70 Total) *

Deposit (50%) - $360.00
Full Payment - $720.00

See estimate 07202025-001 for details

Billing Information

Your Name: *

First

Last

Email: *

Billing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Credit Card or Debit Card Information: *

Card

Name on Card

Total Payment Amount:

$0.00

Payment Authorization: *

I authorize this amount to be made as a one-time payment to Jeremy Zaleski Designs LLC

DCW

Services Payment

Billing Information

Jeremy Zaleski Designs

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