Please insert yourinformation in the following provided spaces. Otherwise, just print out this form mail or fax it in to us at....
BobCorey Associates, div. of BCA Marketing ,Inc. P.O. BOX 757 Kresgeville, Pa. 18333
Fax # (610) 681-7166, or call us direct at (610) 681-7199 .
We provide this form for you to send us your order. You should print a copy for your own records too. When you have completed the order form please submit it to us and we will ship your order within 24 hours barring any anomalies.
We accept PayPal too.... as : customerservice@x-actoblades.com
NOTE:...... We have a minimum of $ 10.00 on credit card orders excluding shipping.
Any orders not making the minimum will not be processed .
First Name: Last Name:
Company Name:
Address 1:
Address 2:
City: State: (2 letters Please)
Zip Code/ Postal Code: Country:
PhoneNo. Work Home Fax Don't forget to include your area code.
Don't Forget Your E-MAIL address:
Credit Card Type: VISA MASTER CARD AMERICAN EXPRESS
CREDIT CARD NUMBER:
Please note ... without the expiration date your order will not be processed.
Expiration Month: Please Choose a Month JAN FEB MAR APR MAY JUN JUL AUG SEPT OCT NOV DEC Year: 2003 2004 2005 2006 2007 2008
==================================================
Item No. Description: How Many Price Extended Total
GRAND TOTAL:
Your item(s) usually will be shipped within 24 hours or less of your order.
Extension tables and other production items take longer..and depend on current production.
If in doubt, email us for shipping costs etc.
We can't know in advance what you want or where you want it shipped.
Thank You.
last updated November 09, 2003