If you prefer to order by mail, or by FAX, print this order
form and then click the BACK button on
your web browser. Mail orders to: Shipping address Billing address, if different from shipping
address.
NEBOOS, 24 South Rd.
South China, Me. 04358,
FAX order to: 207-512-2481. We accept
Visa, MasterCard, Discover American express and Postal Money Orders
Name:
Name:
Address:
Address
* Address:
Address:
City:
City:
State:
Zip Code
State:
Zip Code:
Telephone #:
Telephone #:
Email Address:
Email Address:
* FedEx WILL NOT deliver to a Post Office Box. Ensure that you verify the shipping method on the product/s you are ordering, by reading the information located at the bottom of description page/s. If in doubt, simply enter your street/physical address on the first address line and your PO Box number on the second.
Credit card payment information
Type of credit card, circle one: Visa
MasterCard
Discover
American Express
Card number:
____________-____________-____________-____________-
Expiration Date: Month/Year__________ / __________
Name on Card:
Card Holder's signature:
Card Verification Number: _______________ Note: This is the last
three digits located on the back of your card in the
signature block. For American Express, this is the four digit numeric
code on the front of your card.
Ordering information Product Code: Product Name, (please include color or size if
applicable) Quantity Price Each Total Sub Total Maine Residents add 5% Sales Tax Grand Total