MAIL IN ORDER FORM
|
ITEM NAME |
ITEM SIZE |
ITEM PRICE |
| 1 | ||
| 2 | ||
| 3 | ||
| 4 | ||
| 5 | ||
| 6 | ||
| SUBTOTAL | $ | |
| SHIPPING | $ 0.00 | |
| TOTAL PRICE | $ |
PLEASE PRINT OUT FORM - FILL IN THE BLANKS AND SEND TO:
A.B.T. 10 GRISHAM CIRCLE BELLA VISTA, AR 72714
SENDING A PHOTO OF THE ITEM (S) WOULD BE HELPFUL, BUT NOT NECESSARY.
| NAME: |
PAYMENT TYPE (please circle payment type) |
||
| ADDRESS: |
CREDIT CARD |
MONEY ORDER |
CHECK |
| CITY: |
Card Type |
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| STATE: |
Card Number: |
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| ZIP CODE: | Security code:(3 or 4 digit code on back of card) | ||
| PHONE NUMBER: | Expiration Date: | ||
| E-MAIL ADDRESS: | Signature: (Required for Credit Card Purchase) | ||
|
PLEASE ALLOW 10 DAYS FOR CHECKS TO CLEAR PRIOR TO SHIPPING |
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ALL PAYMENTS MUST BE IN US DOLLARS
© Copyright 2006-2008 ABT. All rights reserved.
