Omaha Smart Card is offering 3 new ways to order your Smart Cards

By Postal Mail  - By Phone - By E-Mail

Submit the information below by postal mail, phone or use our convenient email submission form. You will need to supply the information for all the required fields* You can find the Postal address and the phone numbers on the Contact Page For security reasons you will be asked a security question and you must enter this code OSCV2 for the secure email option.  (Print this page option below)

Name of Organization   
Full Name on Credit Card *  
Address *  
City, State *  
Zip Code *  
Home Phone   
Mobile Phone   
E-mail Address *   
Visa, Mastercard, or Discover *  
Credit Card Number *  
Card Expiration Date *
CVR# (3 digits on back of card) *  
How Many Cards Would You Like To Order *

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Highlighted fields are required.
Your Name:
Your Email:
Security Code
Your Website:
Your Subject:
Your Message:
	Copy yourself on the form submission.