Billing and Contact
Information:Please fill in all required information. An (*) denotes optional fields.
Customer ID(If you have one):
Company or Store Name:
Email Address: Alternative
Email Address(*): Billing address:
(Billing address can
not be a PO Box number if it is as same as the shipping address )
Ship to: (If
different from the Billing address. Shipping address can not be a PO Box
Type of Credit Card:
MASTER CARD DISCOVER
CREDIT CARD NUMBER: CARD
(If the name on the credit card is different from the name you used on the
order form, we require you to explain the relationship between you
and the cardholder in the box above) UPS C.O.D.
If you chose UPS C.O.D., you must give UPS Driver money order or cashiers
check only. We do not
accept company check since we do not provide customer UPS C.O.D. Secure
GROUND UPS 3DAY SELECT
UPS 2ND DAY UPS NEXT DAY
you have any questions, please email any inquiries or comments at
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