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Credit Card Order Form (You may order by phone, fax, or e-mail)

Billing Information

Please indicate method of payment:

Enter card number here:

Expiration Date: - - (example: 08-16-2007)

Full Billing Name: (as it appears on credit card info.)

Billing Address:

Billing Address2:

City: State: Zip:

Daytime Phone Number:

Shipping Information -(If different than above)

First Name: Last Name

Shipping Address:

Shipping Address2:

City: State: Zip:

Initials: (If printing form please use full signature instead of initials).

All other first time orders will be shipped COD. Please allow 2-4 weeks for delivery.
Our Minimum Order is $100 per product category.

YOUR SATISFACTION IS VERY IMPORTANT TO US. If for any reason you are not satisfied with our products of services, please contact us immediately so that we may remedy the problem.