Secure Communications Page

Sometimes our retail customers or resellers need to send us their payment information securely without going through NaturoDoc's online Store, in order to get special discounted prices that we may have quoted to you via email. This is often the case for international customers who may not find it convenient to phone us with their orders.

We have set up this special page in order to provide you with a facility for secure online communications that will take place outside of the NaturoDoc Store.

When you submit your credit card information using this page, it will not automatically be charged as it is through our online Store. We will process the transaction manually when we receive the information you provide below, after we have confirmed your special prices and shipping method.

You can send us your sensitive information in complete confidence through this secure order form, which uses a 128-bit encrypted secure socket layer (SSL).

If you wish to pay via bank wire transfer, let us know in the text field below and we will send you the necessary information via email.

Asterisks (*) indicate required fields.

	Credit Card Information
Credit Card*
Cardholder Name*
Card Number*
Expiration Date*	(MMYY format)
CVV Code	(The 3- or 4-digit security code printed on the back or front of your card)

Please provide your billing information below. The billing information must match the address on the credit card statement so that the card can be authorized. You will have the opportunity to supply a different shipping address below if you wish.

	Billing Information
Billing_Name*
Organization
Address*
Address (cont.)
City*
State/Province
Zip/Postal Code
Country
Daytime Phone*
Evening Phone
Email*

	Shipping Information (You may leave these fields blank if they are the same as above)
Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Daytime Phone
Evening Phone
Fax

Your Order Information

In the text box below, please tell us what you are ordering, the quantity, and your desired shipping method. These probably have been quoted to you by NaturoDoc in a separate email message.

Thank you for your business.