If you would prefer to make your purchase over the phone just fill in all the information below.  This will ensure that we don't make a mistake with your order or shipping information.  Click Submit at the bottom of this page and we will give you a call to confirm your order and you can give us your credit card number over the phone.

You can also fax this information with your order and credit card information to 704-855-4801.  We will send you a shipping confirmation by e-mail when we receive your fax.

 
 

 

 
 

Credit Card Billing Address

Full Name as it's Listed on your Credit Card

First   Middle  Last

Billing Address

Suite or Apartment Number

City   State  Zip

 

Shipping Address

First   Middle  Last

Street Address for UPS Delivery

Suite or Apartment Number

City   State  Zip

 

Day Phone Number

Night Phone Number

Email Address

 

List the items you want to purchase

 

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