Fax Order Form For Master Card / Visa / Discover

Item # 1 _______________________________________________price ____________

Item # 2 _______________________________________________price_____________

Item # 3 _______________________________________________price_____________

Item # 4 _______________________________________________price_____________

Item # 5 _______________________________________________price_____________


Shipping_______________________________________________price_____________


TOTAL to charge to card__________________________________________________


Billing name on card ___________________________________________

Billing street address on card ___________________________________________

Billing city, state , zip on card ___________________________________________

credit card # ___________________________________________

credit card ccv # (last three numbers on back on signature line)______________

expiration date of card # ___________________________________________

telephone # ___________________________________________

I authorize this transaction (signature)________________________________________

Email address _____________________________________________________

After you print this form out fill in apropriate information and Fax to: 1-206-339-4756


You may also call us at 559-554-3901 9 AM - 7 PM Pacific Standard Time Please


I further agree that a 10% restocking fee will be assessed for returned items and a $25.00
fee is authorized in the event cancellation is requested on order after faxing.