|
UNITED STATES
FAX/MAIL ORDER FORM
Print out this form, fill it out,
and either fax it or mail it to us at:
Adventure GPS Products, Inc. *
1629 4th Ave SE* Decatur AL 35601
(256) 351-2151 * Toll Free: (888) 477-4386 * Fax: (256)
351-2325
Email: orders@gps4fun.com * website: http://www.gps4fun.com
|
Product
Number
|
Model/Title/Description
|
Price per
Item
|
Quantity
|
PRODUCT
TOTAL
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
| |
|
|
|
|
|
Item Total: |
|
|
Sales Tax (Alabama
only) 4-9%: |
|
|
Shipping
: |
|
|
TOTAL DUE: |
|
| |
Shipping Method: |
|
|
Payment
Methods
|
| |
Check Enclosed: |
(All
checks must be in US Dollars, drawn on a US Bank,
located in the US & and must include correct
shipping and handling charges) |
|
|
Charge to: |
_____
VISA _____ MasterCard _____ American Express ____Discover |
| |
Name on card: |
_________________________ |
Billing Address
Zipcode: |
_________ |
| |
Card #: |
_________________________ |
Expiration Date: |
_________ |
| |
Signature: |
__________________________________ |
|
|
Customer Information:
|
| |
Shipping Address
|
Billing Address
|
|
Name |
|
|
|
Address |
|
|
|
Address |
|
|
|
City |
|
|
Postal
Code
&Country |
|
|
|
Phone: |
|
Fax: |
|
Email: |
|
|
| |
|
