Order and Inventory Verification Form

Please fill in this form completely. This will allow us to be certain the item you request is still available PRIOR to
accepting payment from you. This extra step is necessary because many of the items are in very short supply.

Please fill in all the information so we have your name, shipping address and email address.

We will then send you a detailed invoice verifying this item's availability and will include a direct link to the PayPal On-Line Purchasing System. You would then enter your credit card information for payment at that time.

Please Note: Postage and handling costs are included in the price FOR U.S. ADDRESSES ONLY. If your address is
outside the U.S. Postal area, your invoice will show any additional postage which you will see prior to finalizing this order.

Thank you for contacting us and we look forward to doing business with you.

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Enter Exact Name of Item

Your Name

Your E-Mail Address

Your Shipping Address with Zip Code

Your Phone Number

Your Fax Number

Questions or Comments (120 characters available)

         

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