Racing pigeon magnetite order form

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Racing Pigeon Magnetite • Attn: Scot Brown
7111 W. Indian School Road #140 • Phoenix, Arizona  85033
• Phone: (623)-873-8080 •
• E-Mail: info@racingpigeons.theshoppe.com •

(Please Print)
See **NOTE** at bottom of page!
Make Checks Payable to Scot Brown

Name (as it appears on the credit card)
Address Line 1
Address Line 2 (optional)
City State/Prov./Prefecture Postal Code
Country (if not USA)
E-mail Address (needed for order confirmation) Home Phone
(        )		 Office Phone
(        )
Credit Card Number with Security Code Card (Visa, MC, Discover, Amex, Diners, Carte Blanche, JCB) Expiration Date
Name of Recipient (if different, optional)
Shipping Address (if different, optional)
Shipping Address Line 2 (if different, optional)
City State/Prov./Prefecture Postal Code
Country (if not USA)

Item Description Quantity Unit Price Subtotal
         
         
Comments:

 

 SHIPPING:  
TOTAL:  

Shipping and Handling

USA

See the website!

We can process checks by phone.

International

Please call or e-mail for details

Thank you
for
your order!

**PLEASE NOTE**

Checks will only be accepted made out to Scot Brown. Please be sure to spell correctly.
Please pay amount due in cash, checks, money orders.

International orders payable in US Funds by Postal Money Order or International Money Order only.
Please follow above directions.