Credit Card Order Form

SKINZ are $12.50 each, plus shipping
Minimum Order 2 SKINZ for Credit Cards
No Minimum on Mail Order Click Here

ATTENTION:
DO NOT PRESS the "ENTER" button until form is Completed!
Use the "TAB" button to move to different fields.

    General Information

* = Required fields to process your order

First name *

Last name *

Company

Street *
(Must be billing address)

City *

State *

Zip code *
(Must be billing address)

Country *

Phone number *

Fax number

E-mail address *
Please make sure this
is a working address!


All correspondence will go to this e-mail address

Additional Comments:
If there is anything else you want us to know, please list it here.


    SKINZ Order Information

 

 

 

 

 

 

 

 

Please add total quantities above and insert below
Number of SKINZ Selected

$20.00 minimum order  Includes S/H in USA

Any additional info on order, if needed

    Custom SKINZ Order Information

Custom (Includes setup and shipping)

Authorization number required
Authorization Number

Any additional info on order, if needed

    Sticker / Banner Order Information
Stickers (Insert price from our e-mail) Authorization number required
Authorization Number
Banners (Insert price from our e-mail) Authorization number required
Authorization Number

Any additional info on order, if needed

Payment Information

There is a minimum order of $20.00 for credit cards.
We gladly accept personal & company checks or money orders on our mail order form

Type of credit card

Card no. e.g., 1234-5678-9876-5432
(PLEASE double check your credit card number)

Expiration date (MM/YY)

Card Holders Name on card (Must match above)

Attention Florida Residents:
6% sales tax will be added to your order.

Shipping/Handling for International Orders is extra.

This Order Form will be forwarded directly to our Account.
If you don't want to submit your credit card information through the Internet,
state this in the "Additional Comments" area above, fill out this order form,
enter 0000-0000-0000-0000 as the credit card no. and click the "order now"
button below. Then just fax your name and credit card number to:
(321) 984-5419

Shipping is usually in 7 Business Days

You may also phone your order. Call 321-480-2991

Thank you for your Order and Support!

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