Please print this form and
send it along with your Money Order or Credit Card Information (NO
CHECKS) to the address shown at the bottom of this page. Keep
in mind if your order is a large object that has to be shipped UPS, we
cannot ship to a P.O. box. Money Order Option is for USA ONLY.
Please Print Clearly:
Your Email
Address:_____________________________________________
Your
Name:____________________________________________________
Your
Address:__________________________________________________
City, State and
Zip:______________________________________________
Phone
number:_________________________________________________
If using credit card, enter
CC#_____________________________________
Expiration Date:
_______________
3 Digit code from back of card
or 4 digit for American Express: ___________