By submitting this form, you authorize Talahi Media Arts to charge your credit card for to pay for the amount you noted above. We will send you an e-mail receipt outlining any and all credit card charges.

Did you read and understand the above paragraph?

As a convenience to our clients to support the "Go Green" initiative, we are providing a secure on-line payment system. You can pay your account using MasterCard, Visa, Discover or PayPal. Please complete the following form or log into your PayPal account and use ed@talahi.com to send a payment.
What type of credit card?
Your Name:
Your E-Mail Address:
Business Name:
Amount of payment:
Name as it appears on card:
Billing Address of Cardholder:
Include Street Address,
City, State & Zip
Credit Card Number:
Credit Card Security Code:
(what is this?)
Expiration Date: (mo/yr)
Comments: