Secure Form for Credit Card Payments
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Secure Form for Credit Card Payments
Submit Credit Card Information Here
Amount authorized in U.S.$
(or) amount authorized in Japanese yen �
(Click here for current exchange rates)
Purpose of Charge
Cards Accepted (check one)
Visa
MasterCard
American Express
Card Number
Expiration Date (month/year)
Name on Card
Email
Phone
Billing Address
City
State/Province/Prefecture
Zip/Postal Code
Country
Comments, questions, or messages for TMA staff?
Credit card billing statements will show charges credited to
"Transpacific America" or "Transpacific Marriage America"
Yen charges will be converted to dollars using the
exchange rate
on the day the charge was processed