This Secure Credit Card form is used for Military Plaque, 3D Photo Plaque and our parent company Bronze Memorials, Inc.
Please fill out all required
information from your credit card.
If the name on your credit card is different than the name on the invoice
please put the name on the invoice in the memo box so we can identify the
If you need help filling out this form please call us at
USA Phone 772.924.0083 - 772.200.2593
and ask for credit card assistance.
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