Invoice Number:

Amount Being Paid:

Child's Name: 

Credit Card First Name: 

Please note that your
credit card statement
will read:

Ebb Productions
Yellow Tail Records

Credit Card Last Name: 

Credit Card Address: 

Credit Card City: 

Credit Card State: 

Credit Card Zip: 

Daytime Phone: 

Email Address: 

Credit Card Number: 

Expiration Date: 

Type of Card: 

Security Code

What's the Security Code?


To send this registration, hit the "send it in" button below. If you're concerned about security,
you can also fill in all the information, print out the form, and send it to:

  


About Security

You might have noticed we are not using a secure server for this form. Technically, sending your credit card information should be safe all the way to our mail box. However, although it's unlikely and there is no record of it ever happening, there is always a chance that the information can be intercepted. In fact, although we were planning to change the form submission policy to a secure page, in all of the cases of stolen credit cards that have been documented, none were obtained through Email communications; they were all stolen from html pages on "secure" sites. Anyway, if you would prefer not to send your credit card information this way, please fill out everything EXCEPT the actual credit card number. Then, call (206) 686-2201, and leave your name, credit card number, and expiration date on the Message Machine.Of course, you can always print out this page, with all of the information filled in, and mail it to us at the address above.