To complete your order please complete the following form:
Today's Date:
Name:
Address1:
Address2:
Town/City:
State: Zip Code:
Province:
Country:
Your Phone Number?
Your E-Mail Address? (Only for us)
Your Internet Address?
Select payment form:
* Credit Card Number:
Credit Card Expiration Date: Month and Year
Name on Card:
(All information submitted remains confidential)
Credit Card billing will appear on your statement as MTC (Our credit card service provider)
Please make checks and money orders payable
to: Larry Smith Mail to: 3619 E Verdin Rd., Phoenix AZ 85044 USA
or
If you prefer, you may call us at 480 899 4463 USA and enter your order.