Visa / MasterCard Order Form

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Shipping is always free to anywhere in the U.S.A.!

Please complete all 5 easy steps on the form so it is faster to process your order.

1. Information:
Name:  First:

Last:

Billing Address: This is the address where you receive your credit card bill. Street address:

City:

State:

Zip Code: 

Country:
Shipping Address:
If different from above Billing Address		 Street address:

City:

State:

Zip Code: 

Country:
Phone #:
E-mail:
2. Items:
Item #
(If no item # please leave blank)		 Qty Price Description/Comments
1. $
2. $
3. $
4. $
5. $
6. $
7. $
8. $
9. $
10. $
  More items? Please enter into the Comments box below.
3. Totals:
# of Items ordered:  

Total Price (Remember shipping is Free to the USA) $
4. Comments:
Additional comments, requests or instructions:

5. Payment:
   

Name on Card:

Credit Card # (Please double check #):

Expiration Date:

                                                                        

Want to call in your order?
Our phone number is 408-615-7007 Pacific Timezone. 

If we are unavailable to answer your call at that time, please leave a message with the best time to call you back and the items you are interested in. Thank you!