Please fax this form to
. All
sales are final.MDCStamps.com Order Form
| Quantity | Part No. | Description | Price | Total |
| Subtotal | ||||
| Shipping | ||||
| Tax | ||||
| Total |
Tax is charged for California only. We accept VISA, MasterCard, Discover Card, American Express.
Please fax this form to
. All
sales are final.
| Name: | __________________________________________________________ |
| Address: | __________________________________________________________ |
| City, State, Zip: | __________________________________________________________ |
| Phone: | __________________________________________________________ |
| Email: | __________________________________________________________ |
| Credit Card Type: | __________________________________________________________ |
| Credit Card Number: | __________________________________________________________ |
| Expiration Date: | __________________________________________________________ |
| Credit Card Code: | __________________________________________________________ |
| Signature: | __________________________________________________________ |