Fill out this order form and print it. Mail or fax it to me
. Keep a copy for your records. We do not trust the web with credit cards.
There is always the possibility a talented hacker can compromise you.
Card number : Expiration
Security code from back of card
Name on Credit Card:
Card Billing Address:
Home Phone with Area Code :
Day Phone with Area Code : Fax
Ship Prepaid and
Change my UPS account
Change my FedEX account
Ship acct #
$45.00 and up Depending on weight and destination
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