Credit Card Information

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DO NOT ATTEMPT TO SEND THIS UNSECURED FORM VIA E-MAIL.

   

 

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If you have already completed the Quotes/Order Form, you do not have to repeat all that information on this form---(please DO fill out Billing address if different from your shipping address)--- just make sure you have enough info to identify this submission as yours.

See instructions below form for PRINTING.

American Express/Optima    Master Card      Visa     Discover

Credit Card #  Expires  CVV 

 
Telephone   email
Cardholder's Name  
Organization  
Billing address  
Address (cont.)  
City  
State/Province  
Zip/Postal code        Country     
PLEASE NOTE: Your credit card will not be charged until shipment is made. You will receive an invoice with the merchandize with the exact charges.

  • TO PRINT:

    • Complete form,

    • For most browsers:   Go to "file" in top menu,

    • then "print" after you have completed the form.

  • then   FAX TO 713-652-1919 (U.S.A.),

  • OR   CALL 800-711-1888  OR 713-652-1917

    •  ASK For Beverly or Noah,

    •  or tell the answering party this is a website order. VERY IMPORTANT !

Copyright © 1997 Brown Book Shop, Inc.
24 Aug 2006

 

  HOUSTON AMENDMENTS FOR 2003 ARE NOT PUBLISHED.

CITY OF HOUSTON HAS NO CURRENT PLANS TO PRINT THESE.