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.
Name:
Address:
Ship To:
Credit Card:
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 Number:
E-mail :
We thank you for your support.
Signature:_______________________________