A note about on-line ordering and security:
 
The information that you provide here will be sent to a remote internet-accessible server, then immediately transferred to a local non-internet accessible computer for processing. Your information is not stored in a database on a server that is accessible from the internet, so it cannot be accessed by internet hacking.
Your credit card number will be encrypted. Only the encrypted version of your credit card number is sent over the internet, and only the encrypted value is ever "seen" on the remote server. We do not store the unencrypted credit card number, nor the un-encryption program on the web-accessible server, so no one but the charge processing company that processes our charges, will ever see your credit card number.
Order Information
         
Half Life - All Our Yesterdays CD - $12 each + $3 shipping for up to 5 CDs
  Quantity:       
Half Life - 8 Swords T-shirt - Red Ink on Black Cotton T - $12 each + $3 shipping
  Quantity:  Size: L Quantity:  Size: M girl Quantity:  Size: L girl
Half Life - Night of the Living Dead Girl T-shirt - Glow-in-the-Dark Ink on Black Cotton T - $12 each + $3 shipping
  Quantity:  Size: S
Half Life - Vyvyan (Young Ones) T-shirt - White Ink on Black Cotton T - $12 each + $3 shipping
  Quantity:  Size: L Quantity:  Size: XL
 
         
Payment Information   
 
We accept payment by Visa, Mastercard, American Express, Optima and Blue.
 
Note: Do not submit this form unless you see an encrypted number appear in the credit card number entry field after you have entered your credit card number in the special pop-up message box.
Name of Cardholder *
Card Number *
Expiration Date (mmyy) *
 
Billing Information    
Fields marked with * are required. This must be the address to which your credit card bill is sent.
 
Last Name *
First Name *
MI *
Address *
City *
State *
ZIP/Postal Code *
Country *
Phone *
E-Mail *
 
Shipping Information    
This is the address to which we will ship your order.  All orders will be shipped by First Class US Mail. You should receive your order in two weeks or less.
 
  Check here if shipping address is same as billing address entered above, otherwise, complete the following:
Name
Address
City
State
ZIP/Postal Code
Country