Submit your credit card information online! Just fill out the form below and it will be sent directly to us. Please allow 1-2 business days for processing.

Your credit card information is for one time use only. No records will be saved in our database.

Contact Information

Order Information

Charge amount does not include freight and tax*. They will be applied once your order ships.
*Sales tax can be removed with a resale certificate. Please attach the certificate below, or email it to accounting@primalighting.com*
Attachment

Card Information

CVV Code location for Visa/Master/Discover cards is on the back of the credit card. For American Express, it is on the top right-hand corner.
Card Type
 Visa Master Card American Express Discover

Billing Information

Billing information for cardholder must match address on bank statement exactly.
The cardholder agrees that by checking "I agree to the terms and agreements", they are agreeing to pay all charges issued to the cardholder, including a 3% surcharge for any non-prepaid orders and/or orders over $2,000. I understand that the amount charged to the cardholder's credit card account may be reflected on the cardholder's balance prior to shipment(s).
I agree to the terms and agreements