Fax Your Order

If you choose not to use our Online Ordering Service, please print our order form, complete it carefully, and fax it to the number at the bottom of this page. As soon as your payment is processed, we will mail your order and confirm this via email. Please be sure to provide a telephone number as well as a valid email address, in case we need to reach you.

Your Order Information

First Name:
Last Name:
Address:
City (and County/Region):
State or Province:	(US/Canada/Australia)
Zip/Postal Code:
Country:
Phone:
Email:
Item(s):

Your Credit Card Information

Card Holder Name
Card Type (Visa, MasterCard)
Card Number
Expiration Date
CCV Code	This is the 3 digit number that appears on the reverse side of your credit card (where your signature appears).

FAX to: (509) 275-1271