PSP (1st Choice) Fax/Mail Order Form |
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P.O. Box 631639, Irving, TX 75063 - Phone: Fax/Voice: 1-407-650-2568 |
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SHIP TO: (no post office boxes, please) |
PAYMENT METHOD: |
Name:________________________________ |
Check:___ Amt. enclosed:$___________ |
Company:_____________________________ |
Money Order:___ Credit Card: MasterCard VISA |
Address:______________________________ |
Card Number: _________________________Exp._______ |
| Address:______________________________ |
Signature:___________________________ |
City:___________________ State:_________ |
Phone Number (____) -______-_________ |
| Zip:________________ | Email Address; ______________________ |
1st Choice Seen On TV Products A Division of Profit Source Publishing |
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Just print out this form, fill in the details and mail or Fax it to us. |
*** Make Check Or Money Order Payable To: Profit Source Publishing *** |
Item Number |
ITEM DESCRIPTION |
Color/ Size/ Style |
QTY |
Price |
TOTAL AMOUNT |
| . | . | . | . | $ | $ |
| . | . | . | . | $ | $ |
| . | . | . | . | $ | $ |
| . | . | . | . | $ | $ |
| . | . | . | . | $ | $ |
| . | . | . | . | $ | $ |
| $ | $ | ||||
| $ | $ | ||||
| $ | $ | ||||
| $ | $ | ||||
| $ | $ | ||||
| $ | $ | ||||
| $ | $ | ||||
| . | . | . | . | $ | $ |
Shipping&Handling
Charges |
SUBTOTAL | $ |
| Shipping&Handling Charges | $ | |
( FL residents add 6% sales Tax ) |
FL Add 6% Tax | $ |
| TOTAL DUE | $ | |
| Note: Most Items are shipped USPS | Date: | . |
*** Make Check Or Money Order Payable To: Profit Source Publishing *** |