WE NOW TAKE
1. Please fill this form out as complete as possible.
2. Total up the amount.
3. Print or submit this page, mail it to us with your check or money order and Call in Credit Card information.
We will mail your order within 3 working days, after that it is up to the post office.
First Name Last Name
Mailing Address
City State Zip
Home Phone Work Phone
Fax Cell Phone
Type of Payment (Check, MO or Charge)
Item #1 Item #1 Price
Item #1 Description
Item #2 Item #2 Price
Item #2 Description
Item #3 Item #3 Price
Item #3 Description
TOTAL AMOUNT OF PURCHASE
(Texas residents add 8.25%) TAX
TOTAL AMOUNT DUE
Will RESET the whole form.
PRINT and MAIL form and payment to:
CRUISIN' TIMES MAGAZINE
2501 Hardwood Lane
Houston, Tx. 77093-4233
OR CALL IN CREDIT INFORMATION TO:
713-695-3508
ONLY IF YOU ARE CALLING IN CREDIT CARD INFORMATION