ORDER FORM
How Would You Like to Pay?
- By Credit Card:Call Us (760)-941-1500
- Or Print Page and call Fax
- Or Email Payment at Paypal.com
to ("xguru@email.com")
Fax Form: Print
this form, then call to fax
Purchaser Information:
Card Type____________________________Number: __________________________Exp. Date:_____________
Phone number________________________Fax number ________________Email_______________________
Address_________________________________________________________
City___________________________State__________________Zip________
Item_________________________
Size_________________________
Color________________________
Quantity_____________________
Special Instructions:___________________________________________