|
|||||||||||||||
 |
|
|
|
||||||||||||
Machine Manual Services
|
USA Residents only Item #
( or Title if applicable):
________________________________________________
Email address: ____________________________________________________________Company
Name: ___________________________________________________________
Contact:
_________________________________________________________________ Cardholder Name:
__________________________________________________________ Phone Number:
____________________________________________________________ Credit Card Billing Address:
__________________________________________________ Shipping Address: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Check One: Visa____ MC___
Disc___
AMX___ Card Number: _______________________________________
Expiration Date _____ Card Code: ___________ (Visa, MC, - 3 digit
on back) I authorize Machine Manual Services. to charge my purchase(s)
to the credit card listed above, and hereby agree to the charge amount of
$___________. Cardholder Signature: ____________________________________________________ (Please fax back to the number listed above for immediate
processing of your order.)
| ||||||||||||||
Home | Products | Services | Contact
IMPORTANT: We do not endorse
pop-ups or any other non-contextual advertising
for anything other than pictures & information.
If you see or receive one of these items, it is coming from an outside source,
either as a result of something you have previously downloaded or
as an "exit" pop-up from the site you just visited. It is not coming
from our site.