Mail or Fax in your order
Print out the following order form and:Fax it to (714) 908-9325
ORDER FORM
Name: ___________________________________
Email: _________________________
(double check spelling, this is where your order
confirmation and other correspondence will be sent.)Company (optional): _________________________
Address: _________________________
City: _________________________
State: _________
Country: _________________________
Zip: _________
Phone: (___) ____ - ______
Product Ordered #1: _________________________Amount: _________
Product Ordered #2: _________________________Amount: _________
Total..........................................................................Amount: _________
( ) I am enclosing a check or money order. We do not accept checks by fax, so if you are paying by check you must mail it in.
( ) I want to charge this purchase to my Credit CardCredit Card (check one):
VISA
Card Number: _________________________
Expiration Date: _________
Signature: _________________________
