Planet CD-ROM Credit Card FAX Order
Please
print all information clearly so we can process your order correctly
and quickly.
Payments are in U.S. funds only. Fax the completed
form to: 1-888-799-5913
1. Your name ______________________________________________________
and Email Address
________________________________________________
(this enables us to locate your customer account and send email on
your order's status)
2. Telephone Number: ___________________________________
(Only used if we need to contact you directly about the order.)
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3. Billing Address
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4. Shipping Address U.S. Address ONLY!
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5.
| Product
Code (Example: pc12345) |
Product Name & Description | How Many | S&D Each |
Subtotal |
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Total
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||||
Thank
you for your order! If you have questions, please contact us at Customer Service.
We will send a confirmation email when your order is processed and shipped.
Please allow 10-14 business days for U.S. orders. (Note: We currently do not accept any international orders).
Please FAX your credit card order to: 1-888-799-5913
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Credit Card
# ________________________________________ ( Visa / MC / Disc ) Exp Date:
______/___________ (MM/YYYY) |