The Checkmate Group, 0-0-0Checkmate,. BrightWorld and 24Hours7Days
1703 Highway 93 North, Scott, LA 70583
Fax:(413)691-8722
Date:___________________
YOUR SHIPPING INFORMATION YOUR BILLING INFORMATION
Name:__________________________________ Name:__________________________________ Shipping Address:___________________________ Billing Address:_________________________ _______________________________________ _______________________________________ City:_______________________ City:_______________________ State:_____________ Zip:____________ State:_____________ Zip:____________ Country___________________ Country___________________ Phone:____________________________ (Required)* Your Email:________________________ (Required)*
Item No# Description Quantity Price Per Unit Total Price Faxed orders received after 2pm CST will be processed on the next business day. Make all payments to our parent company The Checkmate Group. Please Do not make payable to 24hours7days.
Sub-Total Shipping (See Below) Total
| Card
Number:_________________________________________________EXP:________
3-4 Digit Security Code _______ (required!*) Visa, MC, Disc: Last 3 digits on back of card in signature line. AMEX (only) can also be located on front of card 4 digits for older verions of the card. |
|
Clear Signature:_______________________________________________________________ Print Exact Billing Name___________________________________________________ |
| Check Number:___________ Mail In Only, Make Payment to: 24Hours7Days. Order will ship after check clears banking systems. Money orders ship upon receipt. International must supply US Bank Draft for total in US Dollars only. |
Shipping rates as follows:
| Regular Shipping | 7-10 Business Days | $7.95 | No Item Limit |
| Rush Shipping | 3-4 Business Days | $17.95 | No Item Limit |
| International, Military, HI, AK | Quote Only | Contact Customer Service | Contact Customer Service |
*Please see information on our order requirements with respect to our outstanding privacy policy.