Print out this form or write the information on a blank sheet and follow the directions below.
STEP ONE: fill out contact info
NOTE: Your order may be delayed if we cannot read your writing. PLEASE PRINT CLEARLY.
|
Name: |
________________________________________________ |
|
Shipping Address: |
________________________________________________ |
|
Email Address: |
________________________________________________ |
|
Phone Number: |
________________________________________________ |
STEP TWO: select items and add up your total
ITEM |
QUANTITY |
PRICE PER PIECE |
SUB TOTAL |
Choose a shipping method and add to total |
US First Class Mail |
$2.00 |
|
US Priority Mail |
$4.05 |
|
|
TOTAL |
( ) |
||
STEP THREE: select payment method
|
Check - Make check out to Delta Spark |
|
|
Credit Card - fill in the info below |
|
Name on Card: |
________________________________________________ | ||||
|
Billing Address: |
________________________________________________
________________________________________________ |
||||
|
Card Type: |
|
||||
|
Card Number: |
________________________________________________ | ||||
|
Expiration Date: |
________________________________________________ | ||||
|
Card Verification #: |
________________________________________________
The card verification number is a 3-digit number for Visa, Mastercard and Discover and a 4-digit number for American Express. (See examples below) We cannot process credit card payments without it.
|
||||
|
Signature: |
________________________________________________ |
STEP FIVE: mail
Send this form and check or credit card information to:
