DSC Credit Card Billing and Shipping Information
(Fax to 818-988-7671)
DSC Accepts American Express Cards only for International Orders. We do not accept Mastercard and Visa for International Orders. If you have an American Express Card, here are the instructions that American Express requires in order to process your credit card for purchase.

First Name (as appears on card)
__________________________________________________

Last Name (as appears on card)
__________________________________________________

Email
__________________________________________________

Address Line 1
__________________________________________________

Address Line 2
__________________________________________________

City
__________________________________________________

State/Province/Region
__________________________________________________

Zip/Postal Code
__________________________________________________

Country
__________________________________________________

Phone Number
__________________________________________________

Credit Card Number _________________________ EXP _______

CRV# (Card Verification Number) _______*
*On American Express 4 digit number found on face of card above credit card number.

I Certify that I am Authorized holder of above listed credit card and I duly Authorize DSC (Data Support Co.) to charge against above credit card for payment.

Customer Service Telephone Number (on back of card)_______________

Item _________________ Total Amount to be charged USD $__________

Date________________ Signature______________________