If you do not wish to pay by credit card please send a cashiers check or money order.
Money orders are available at the post office. Personal checks will not be accepted!!
NO Personal checks!)

Credit Card Number: ____________________________________ Exp. Date: _____________

Name on Card: ______________________________________________________________

Address Card is Billed to: ______________________________________________________

City: ___________________________________ State: _____ Zip: _____________________

Telephone: Daytime-________________________Evening-____________________________

                  EMAIL ADDRESS____________________________________________________________

Person Ordering: _____________________________________ Date ___________________

Ship to : Name: ______________________________________________________________

Address: __________________________________________________________________

City: ___________________________________ State: _____ Zip: _____________________

Telephone: __________________________  Estimate Ship Date:_______________________