Please provide the following ordering information:
TODAY'S DATE: example: 02/21/2007
FIRST NAME:
LAST NAME:
EMAIL:
PHONE:
ORDER:
Quantity
African Hides NO ORDER AE001 AE002 AE002 AE003 AE004 AE005 AE006 AE007 AE008 AE009 AE010 AE011 AE012 AE013 AE014 AE015 AE016 AE017 AE018 AE019 AE020 AE021 AE022 AE023 AE024 AE025 AE026 AE027 AE028 AE029 AE030 AE031 AE032 AE033 AE034 AE035 AE036 AE037 AE038 AE039 AE040 AE041 AE042 AE043 AE044 AE045 AE046 AE047 AE048 AE049 AE050 AE051 AE052 AE053 AE054 AE055 AE056 AE057 AE058 AE059 AE060 AE061 AE062 AE063 AE064 AE065 AE066 AE067 AE068 AE069 AE070 AE071 Price $ Description
African CURIO NO ORDER AC-001 AC-002 AC-003 AC-004 AC-005 AC-006 AC-007 AC-008 AC-009 AC-010 AC-011 AC-012 AC-013 AC-014 AC-015 AC-016 AC-017 AC-018 Price $ Description
TOTAL ................................................................................................................................... $ Plus shipping, if shipping is not indicated on FOR SALE page it will be calculated and added when shipped. BILLING Credit Card VISA MasterCard Cardholder Name Card Number - - - Example: 1234-5566-7891-4321 Expiration Date MM / YY Example: 05/09 Card Security Number 3 digit number on back of card SHIPPING INFORMATION This information for Security purposes needs to be the same as the address your credit card bill goes to. If you want these items sent to another address please include it in the Comments section below. "Please Mail To :" Name Street Address Address (cont.) City State/Province Zip/Postal Code Country
TOTAL ................................................................................................................................... $ Plus shipping, if shipping is not indicated on FOR SALE page it will be calculated and added when shipped.
SHIPPING INFORMATION This information for Security purposes needs to be the same as the address your credit card bill goes to. If you want these items sent to another address please include it in the Comments section below. "Please Mail To :"
