Phone Order : Tel: 1- (425) 898-2233 | |
Fax Order : Print out this form and Fax to : 1-(425) 871-2233 | |
Mail order :
Mail your Money Order to: |
| Item # | Quantity | Description / Color |
Unit Price | Sub Total |
Shipping & Handling |
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Grand Total |
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Payment
Information |
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| Card Holder's Name | ||||
| Card Type | ||||
| Card Number | Exp. Date: | |||
| Issuer Bank | ||||
| Billing Address | ||||
| City: | Country: | |||
| Phone number | ( ) | |||
| Email Address | ||||
| Shipping Address (if different from Billing address) | ||||
| Signature: | Date: | |||