Bricks R Us | One-Time Payment

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Your Customer ID
Purchase Order Number(s)
Amount	$
Credit Card Surcharge	—
Total Transaction Amount	—
This surcharge does not exceed our cost to process the transaction. To avoid paying this credit card surcharge, you can also pay via electronic check. We are unable to provide a receipt WITH the surcharge showing. If you need one, print your screen before hitting continue.
Card Type
Credit Card Number
Expiration Date
CVV2
First Name on Card
Last Name on Card
Statement Billing Address
Statement Billing City
Statement Billing State
Statement Billing ZIP Code
Billing Phone Number
E-Mail Address