1944 Militaria PO Box 506, Alloway, NJ 08001 USA FAX # 1-856-221-3853
Please print this page out and fax or include payment with mailing. Please print clearly.
| Description | Size | Quantity | Price | Total |
|
BILLING ADDRESS Name_______________________________________________________________________________ Zip Code_______________ Country_________________Telephone (____)__________________ Fax or E-mail |
SUBTOTAL | |||
| NJ Tax 7% (Residents Only) | ||||
| SHIPPING & HANDLING | ||||
| TOTAL | ||||
PLEASE NO PERSONAL CHECKS SORRY NO C.O.D.'s
Credit Card Information (Visa, MC, or Discover Card only)
| Credit Card Number |
|
|
|
|
||||||||||||||||
|
Expiration Date (month/year)
|
Security Code (back of card in
the signature panel)
|
|||||||||||||||||||
Signature: ________________________________ (Required for Credit Card Order)
SHIPPING ADDRESS (if different from above)
Name _______________________________________________________________________________________________________
Street
Address (No P.O.
Box's)__________________________________________________________________________________
City____________________________State/Province____________ Zip
Code______________
Country_________________Telephone (____)__________________ Fax or E-mail ______________________________________