Send Credit Card Data to Savage Eden
Return Subscriber $9.95
   
Use this form to send your credit card information to
Savage Eden accounting for direct entry into the PayPal
 e-commerce system.  All requested info below is required, if we cannot process your card with the information provided, you will be required to use PayPal directly.
  

Credit Card Data Entry Form
All information Requested Below is Required
to Process your Credit Card.
Full Name exactly as shown on the credit card
Credit Card Billing Address
Billing Address - City
Billing Address - State, Province, County  or Region.
Billing Address Zip Code
or Postal Code
Country
Credit Card Number
Credit Card Verification Number:  (3  digit code shown after the credit card number on the back of the card, or 4-digits on the front of the card if Amex). 

Visa & Master Card

American Express
Expiration Date
(exactly as shown on the card).  
Type of Credit Card
   
   
By entering your full name as it is shown on the Credit Card here, you agree to honor said charges to your credit card and are in effect recording your signature for this credit card transaction.  
   
All information requested below must be provided in order to receive your game account.  Once we have reviewed your request, we will send you an e-mail confirming your password assignment.
Existing Savage Eden User ID as listed in our records for your account:
(must match our records or account cannot be 
 re-opened)
Existing Savage Eden Account Password as listed in our records for your account:
(must match our records or account cannot be 
 re-opened)
Account Holder  First Name: 
Account Holder  Last Name: 
City
State / Region
Country
   
Your E-Mail Address
   
 

 

 


 

 

 

 

 

 

 

 

SAVAGE EDEN AN MMORPG ON-LINE GAME IS PUBLISHED IN THE USA BY NEW GAME WORLD, INC.
Copyright 2003 - 2008 · All Rights Reserved · New Game World, Inc. · T-Entertainment Co, LTD.